UPDATE:: Re: Negotiated out-of-network payment services

[Guest guest]

The first time I was dealing with these re-pricers I negotiated a compromise.

Thanks to those in this group, however, I was prompted to look into the FL WC

Manual to find the maximum reimbursement allowed (MRA), which gave me a baseline

to compare to what the re-pricers were offering. Sadly, it wasn't close. So I

got " taken " the first time around.

When they came knocking again for different claims, I returned with a

counter-offer, using the MRA information and decided to stick firm to my

numbers. Well, the same day I sent off my counter-offer I received a check from

the WC insurer for the MRA amount. Apparently the right hand is not talking to

the left hand. Not surprising, but disappointing.

The third time they came knocking I didn't even return with a counter-offer or

return their phone calls, and I received in the mail a few days later a check

from the insurer with the MRA amount.

MORAL OF THE STORY: If contacted by a re-pricer you may be in better shape to

wait and see what the insurer does, despite the re-pricers warnings that their

offer is only good till the end of the day. And also, find out the MRA for your

state.

B Schroedter, PT

Miami, FL

>

> I was recently contacted by National Health Quest offering a settlement on a

WC claim that I find unacceptably low in terms of reimbursement. What happens if

I reject the settlement offer? How much negotiating room does one have with

these types of organizations?

>

> B Schroedter, PT

> Miami, FL

>

[Guest guest]

We don't deal with re-pricers. Why take a reduction if they never sent the

patient to you?

In Mississippi there is a law that they can not make you take the amount they

offer, and they can't threaten to 'slow down' payment as everything must be paid

within 30 days or there are penalties.

Do not deal with them.....they don't manage patient care, they don't drive

patient's to your door, they do NOTHING. They are parasites.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Mississippi

UPDATE:: Re: Negotiated out-of-network payment services

The first time I was dealing with these re-pricers I negotiated a compromise.

Thanks to those in this group, however, I was prompted to look into the FL WC

Manual to find the maximum reimbursement allowed (MRA), which gave me a baseline

to compare to what the re-pricers were offering. Sadly, it wasn't close. So I

got " taken " the first time around.

When they came knocking again for different claims, I returned with a

counter-offer, using the MRA information and decided to stick firm to my

numbers. Well, the same day I sent off my counter-offer I received a check from

the WC insurer for the MRA amount. Apparently the right hand is not talking to

the left hand. Not surprising, but disappointing.

The third time they came knocking I didn't even return with a counter-offer or

return their phone calls, and I received in the mail a few days later a check

from the insurer with the MRA amount.

MORAL OF THE STORY: If contacted by a re-pricer you may be in better shape to

wait and see what the insurer does, despite the re-pricers warnings that their

offer is only good till the end of the day. And also, find out the MRA for your

state.

B Schroedter, PT

Miami, FL

>

> I was recently contacted by National Health Quest offering a settlement on a

WC claim that I find unacceptably low in terms of reimbursement. What happens if

I reject the settlement offer? How much negotiating room does one have with

these types of organizations?

>

> B Schroedter, PT

> Miami, FL

>

[Guest guest]

We don't deal with re-pricers. Why take a reduction if they never sent the

patient to you?

In Mississippi there is a law that they can not make you take the amount they

offer, and they can't threaten to 'slow down' payment as everything must be paid

within 30 days or there are penalties.

Do not deal with them.....they don't manage patient care, they don't drive

patient's to your door, they do NOTHING. They are parasites.

Matt Capo, PT

Accelerated Physical Therapy and Occupational Health, Inc.

Bay St. Louis and Diamondhead, Mississippi

UPDATE:: Re: Negotiated out-of-network payment services

The first time I was dealing with these re-pricers I negotiated a compromise.

Thanks to those in this group, however, I was prompted to look into the FL WC

Manual to find the maximum reimbursement allowed (MRA), which gave me a baseline

to compare to what the re-pricers were offering. Sadly, it wasn't close. So I

got " taken " the first time around.

When they came knocking again for different claims, I returned with a

counter-offer, using the MRA information and decided to stick firm to my

numbers. Well, the same day I sent off my counter-offer I received a check from

the WC insurer for the MRA amount. Apparently the right hand is not talking to

the left hand. Not surprising, but disappointing.

The third time they came knocking I didn't even return with a counter-offer or

return their phone calls, and I received in the mail a few days later a check

from the insurer with the MRA amount.

MORAL OF THE STORY: If contacted by a re-pricer you may be in better shape to

wait and see what the insurer does, despite the re-pricers warnings that their

offer is only good till the end of the day. And also, find out the MRA for your

state.

B Schroedter, PT

Miami, FL

>

> I was recently contacted by National Health Quest offering a settlement on a

WC claim that I find unacceptably low in terms of reimbursement. What happens if

I reject the settlement offer? How much negotiating room does one have with

these types of organizations?

>

> B Schroedter, PT

> Miami, FL

>