Thanks so much for this information. I am preparing to launch a campaign to renegotiate reimbursement rates for my mental health counseling contracts, so your information is most helpful. I'll definitely be looking into your other materials.
Your candor, your relevance (especially as another biller in Oregon!), your approach... I am so grateful for your channel and how much you've shared via your channel and blog! Thank you for helping me feel less alone in the field and for providing such helpful nuggets in your videos. I've shared this one as well with our clinicians so they more clearly understand the process. THANK YOU!!! 💓💯
This is very helpful! I have been struggling with insurance at times who don't really have that extra room for flexibility to negotiate especially as a new contractor. I have been managing an Outpatient Psych office and I also handle credentialing and contracts. Diving into contracts and what these payers offer to pay sometimes it's low but do to our specialty I feel we have the upper hand do so. The need for Mental Health is so HIGH right now. You are definitely helping with learning and understanding how to navigate this better. Thank you so much!!!
Thanks for the Video. I started contracting last year. The one thing I get is to keep on approaching the payer if they say they are willing to provide some raise. I have a question. If the contracting rep sometimes shuts you down and doesn't respond to your email. Is there a way to reach the supervisor? As I have very difficulty reaching out to Aetna's Contracting Rep.
Hi there and thank you for watching! Aetna, in my experience, has also been a challenging insurance to escalate issues. I’ve been known to call their claims department, or another department and ask for a supervisor. I have also asked to see if they have an alternative contact method or email address/phone number to try. I can’t say I’ve always been successful but I do try other avenues to see if someone can help get me there. I’m sorry you’re experiencing that, but you’re not alone. Good luck!
@@NavigtingtheBusinessofMedicine ok. I will see what I can do. Actually, I have a successful negotiation on few of CPTs and the rep said that she was building the contract and now she is not responding. This was happening from last 3 months. I hope I can get a response. Thanks for your prompt response. Really appreciate your help.
Great tips, however, many insurance companies will send you an Amendment & inform you that you are now taking a particular plan. No Fee Schedule is sent. Then you are stuck because if you don't participate in ALL plans, then they often won't let you drop just one! Has anyone else had this issue?
This is very interesting and I have not heard of this until now. Unfortunately, it does not surprise me. It seems just when things seem to be going well and people are finally able to navigate a certain space or detail with insurance, they change it up again. I’m sure it is also location and payer-specific. Remember, it is OK to advocate for yourself and ask for negotiations to see if there is any wiggle room and you can always ask for a fee schedule if you need one. Thank you for the information.
Thanks so much for this information. I am preparing to launch a campaign to renegotiate reimbursement rates for my mental health counseling contracts, so your information is most helpful. I'll definitely be looking into your other materials.
I’m happy this was helpful! Good luck and thank you for supporting me and my channel!
Your candor, your relevance (especially as another biller in Oregon!), your approach... I am so grateful for your channel and how much you've shared via your channel and blog! Thank you for helping me feel less alone in the field and for providing such helpful nuggets in your videos. I've shared this one as well with our clinicians so they more clearly understand the process. THANK YOU!!! 💓💯
You are so welcome! It’s viewers like you that help me keep up doing what I’m doing!
This is very helpful! I have been struggling with insurance at times who don't really have that extra room for flexibility to negotiate especially as a new contractor. I have been managing an Outpatient Psych office and I also handle credentialing and contracts. Diving into contracts and what these payers offer to pay sometimes it's low but do to our specialty I feel we have the upper hand do so. The need for Mental Health is so HIGH right now. You are definitely helping with learning and understanding how to navigate this better. Thank you so much!!!
You are very welcome! Keep up the hard work because it will pay off! Thank you for watching!
Thanks for the Video. I started contracting last year. The one thing I get is to keep on approaching the payer if they say they are willing to provide some raise. I have a question. If the contracting rep sometimes shuts you down and doesn't respond to your email. Is there a way to reach the supervisor? As I have very difficulty reaching out to Aetna's Contracting Rep.
Hi there and thank you for watching! Aetna, in my experience, has also been a challenging insurance to escalate issues. I’ve been known to call their claims department, or another department and ask for a supervisor. I have also asked to see if they have an alternative contact method or email address/phone number to try. I can’t say I’ve always been successful but I do try other avenues to see if someone can help get me there. I’m sorry you’re experiencing that, but you’re not alone. Good luck!
@@NavigtingtheBusinessofMedicine ok. I will see what I can do. Actually, I have a successful negotiation on few of CPTs and the rep said that she was building the contract and now she is not responding. This was happening from last 3 months.
I hope I can get a response.
Thanks for your prompt response. Really appreciate your help.
Great tips, however, many insurance companies will send you an Amendment & inform you that you are now taking a particular plan. No Fee Schedule is sent. Then you are stuck because if you don't participate in ALL plans, then they often won't let you drop just one! Has anyone else had this issue?
This is very interesting and I have not heard of this until now. Unfortunately, it does not surprise me. It seems just when things seem to be going well and people are finally able to navigate a certain space or detail with insurance, they change it up again. I’m sure it is also location and payer-specific. Remember, it is OK to advocate for yourself and ask for negotiations to see if there is any wiggle room and you can always ask for a fee schedule if you need one. Thank you for the information.
Something is scratchy with the audio. I would recommend getting a new mic. Look into shotgun mics. Great videos, appreciate your work.
Thank you, I will look into those! I appreciate you watching.