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Self–Funded Plans

In most markets half, or more, of the payer lives are in self-funded plans This means the “insurance company” is not really providing an Insured Product—they simply administer the plan. The actual payer, at the end of the day, is the employer themselves. All of these employers have a Human Resources Department (or something similar)…

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Know Your Payer Representatives

Do you know the payer representatives? Find out who they are and develop a relationship! Usually there is someone assigned to you. Invite them to drop in for lunch. They are not the enemy and very often a good relationship can pay big dividends when you need help with a problem claim, or when it…

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The Doc Fix

The US Senate has recessed without taking up the Doc Fix We were so close to finally doing away with the SGR (Sustainable Growth Rate) calculation which has held good medical care hostage year after year. The House of Representatives sent through a bi-partisan bill to the Senate, the President was ready to sign, and the…

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Cash Pay Service Reminders

Ask your patients if they have a cafeteria plan at work. Money has to be spent by the end of the year! Keep track and start sending out cash pay service reminders mid October. Stay tuned for more Todd’s Tips! About R. Todd Welter • MS, CPC Founder and President of RT Welter & Associates…

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