Guest guest Posted February 3, 2012 Report Share Posted February 3, 2012 After looking at ATA's contract, I am amazed there are actually people that take that program. The reimbursement seems ridiculous. If any of you take it, how do you do that and operate? Curious. Thanks! Heidi Billing Manager Lees Summit, MO RE: Humana Going in network is a tough decision as well. In my discussions they only ffer 70% of Medicare and have remained firm on the pricing. It's not a ominate payer in our area so we have avoided enrolling. But, after looking at it, when you break down other agreements in comparison hey are similar. (Optum/United/Pacificare, Cigna & BCBS flat fee/visit, ATA's flat fee per vent, and other fee schedule offerings (Aetna, etc.) From: PTManager [mailto:PTManager ] On Behalf f lydia radosevich ent: Thursday, February 02, 2012 8:40 PM o: ptmanager ubject: Humana Hi Group, ondering how others experience is with Humana. We are not contracted with hem, but my billing manager is telling me of how they have given us uthorization, but then not pay us. Would like to know if others have had roblems with them. Need to decide if we will accept any more patients who ave Humana or how to handle it. hanks ydia Radosevich,PT uidoso,NM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2012 Report Share Posted February 3, 2012 Just got out of it. A little over 2 years ago Aetna sent a cancellation notice to all PT/OT providers in North Texas directing them to ATA (Doral). There was no other choice if you wanted to see their members in network at that time. We had always been direct with Aetna, we opened in 88. From: PTManager [mailto:PTManager ] On Behalf Of Heidi Harmon Sent: Friday, February 03, 2012 10:57 AM To: PTManager Subject: ATA After looking at ATA's contract, I am amazed there are actually people that take that program. The reimbursement seems ridiculous. If any of you take it, how do you do that and operate? Curious. Thanks! Heidi Billing Manager Lees Summit, MO RE: Humana Going in network is a tough decision as well. In my discussions they only ffer 70% of Medicare and have remained firm on the pricing. It's not a ominate payer in our area so we have avoided enrolling. But, after looking at it, when you break down other agreements in comparison hey are similar. (Optum/United/Pacificare, Cigna & BCBS flat fee/visit, ATA's flat fee per vent, and other fee schedule offerings (Aetna, etc.) From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf f lydia radosevich ent: Thursday, February 02, 2012 8:40 PM o: ptmanager <mailto:ptmanager%40yahoogroups.com> ubject: Humana Hi Group, ondering how others experience is with Humana. We are not contracted with hem, but my billing manager is telling me of how they have given us uthorization, but then not pay us. Would like to know if others have had roblems with them. Need to decide if we will accept any more patients who ave Humana or how to handle it. hanks ydia Radosevich,PT uidoso,NM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2012 Report Share Posted February 3, 2012 Just got out of it. A little over 2 years ago Aetna sent a cancellation notice to all PT/OT providers in North Texas directing them to ATA (Doral). There was no other choice if you wanted to see their members in network at that time. We had always been direct with Aetna, we opened in 88. From: PTManager [mailto:PTManager ] On Behalf Of Heidi Harmon Sent: Friday, February 03, 2012 10:57 AM To: PTManager Subject: ATA After looking at ATA's contract, I am amazed there are actually people that take that program. The reimbursement seems ridiculous. If any of you take it, how do you do that and operate? Curious. Thanks! Heidi Billing Manager Lees Summit, MO RE: Humana Going in network is a tough decision as well. In my discussions they only ffer 70% of Medicare and have remained firm on the pricing. It's not a ominate payer in our area so we have avoided enrolling. But, after looking at it, when you break down other agreements in comparison hey are similar. (Optum/United/Pacificare, Cigna & BCBS flat fee/visit, ATA's flat fee per vent, and other fee schedule offerings (Aetna, etc.) From: PTManager <mailto:PTManager%40yahoogroups.com> [mailto:PTManager <mailto:PTManager%40yahoogroups.com> ] On Behalf f lydia radosevich ent: Thursday, February 02, 2012 8:40 PM o: ptmanager <mailto:ptmanager%40yahoogroups.com> ubject: Humana Hi Group, ondering how others experience is with Humana. We are not contracted with hem, but my billing manager is telling me of how they have given us uthorization, but then not pay us. Would like to know if others have had roblems with them. Need to decide if we will accept any more patients who ave Humana or how to handle it. hanks ydia Radosevich,PT uidoso,NM Quote Link to comment Share on other sites More sharing options...
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