PPO Plunder: Is Your Practice Being Pillaged?
Many providers are surprised to learn how much revenue is lost to PPOs, once the data on actual reimbursement rates are revealed.
In this free lesson, daisyBill cofounder Sarah Moray breaks down how rampant PPO discount leasing can lead to drastic revenue loss — and how the right software can bring these hidden losses to light.
We’ll cover:
- How to identify and quantify PPO discounts
- How claims administrators can access and apply a wide variety of contractual discounts
- Calculating actual reimbursements as a percentage of fee schedule rates
- Calculating actual reimbursements as a percentage of Medicare rates
- How to demand claims administrators substantiate potentially improper PPO discounts
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