DecisionHealth, DecisionHealth - 2011 Issue 9 (September)

4 ways to ensure physician quality ratings don’t hurt cash flow

When your physicians get a low quality rating by a private insurance plan, the result could be a drop in new patients, lower rates in your next contract negotiation or even being forced to charge different copays for different doctors within your practice. You must know how to appeal a low quality rating for existing plans and ask about the ratings system when negotiating with new plans, experts say.

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