Re: Differences in payors depending on state, location

[Guest guest]

Thanks for your sage advice. Happy holidays to everyone tooSent from my iPhone

End of this recent post says that Aetna "best payor" in California and BCBS (I take 3 flavors of BCBS in Western PA); aetna's my worst payor.

I did unofficial survey here about 6 weeks back; Medicare "worst payor" in NY, NJ, Ca, but a "reasonable" payor in my area.

Go figure.

And I still have 2,3 people on Aetna HMO, they pay all of $2.30/month....

Matt in Western PA

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]



Woops -- Medicare was "best payor" in NY, NJ, and California ---

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]

Not in the Upstate Region their not... Our pain in the Ass BC/BS affiliate Excellus and MVP our most probably our best. Most commercials pay a small to modest percentage above Medicare Fee Schedule. Not All but most... Happy, healthy and a safe Holiday and New Year...

&

To: Sent: Fri, December 24, 2010 6:18:45 PMSubject: Re: Differences in payors depending on state, location

 Woops -- Medicare was "best payor" in NY, NJ, and California ---

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in

error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]



That's what I was hoping some would say, but others in NJ and Calif gave me the impression that the commercials were UNDER Medicare, so when Medicare was threatening reduction, commercials would also be lowered...

Matt in Western PA

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]

Well, even though our contracts may be for a small or modest amount above the Medicare Insult of a Fee Schedule especially for all of our Bread and Butter E & M codes, those same contracts are Biased and directly related to the Medicare Fee Schedule be same year or in some cases prior year fee schedule so for example in 2010 such a contract would be based on prior year IE 2009's Fees... So I cut in Medicare is a direct and immediate cut at the moment it goes into effect where as others are there but Delayed until the following year making them all the more "Fun" as you wait10-12 months for the pain to begin... The gamemanship just never stop and it is hard to imagine anything being much more biased and inbalanced then what we are presently required to put up with...

To: Sent: Sat, December 25, 2010 1:26:36 AMSubject: Re: Differences in payors depending on state, location

 That's what I was hoping some would say, but others in NJ and Calif gave me the impression that the commercials were UNDER Medicare, so when Medicare was threatening reduction, commercials would also be lowered...

Matt in Western PA

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in

error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]



RE Medicare sets the rate.

Oh yes, I agree, but doubly terrible if the Medicare rate is your BEST payor... I shudder.

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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[Guest guest]

We call it the California tax. We make a lot less than the rest of the country ( maybe a few states are exceptions)

 

 RE Medicare sets the rate.

 

Oh yes, I agree, but doubly terrible if the Medicare rate is your BEST payor... I shudder.

Blue Cross Rejection letter

 

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with  patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]

We call it the California tax. We make a lot less than the rest of the country ( maybe a few states are exceptions)

 

 RE Medicare sets the rate.

 

Oh yes, I agree, but doubly terrible if the Medicare rate is your BEST payor... I shudder.

Blue Cross Rejection letter

 

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with  patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

Reply to sender | Reply to group | Reply via web post | Start a New Topic

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]

We call it the California tax. We make a lot less than the rest of the country ( maybe a few states are exceptions)

 

 RE Medicare sets the rate.

 

Oh yes, I agree, but doubly terrible if the Medicare rate is your BEST payor... I shudder.

Blue Cross Rejection letter

 

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with  patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

 If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

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[Guest guest]

We are paid higher by Medicare here than in a lot of places. That's what the GPSI adjustment is. So our commercials pay less than Medicare, but I'd guess that if you compared it to somewhere that has a lower cost of living ( and thus a lower GPSI), the commercial reimbursement might be about the same dollar-wise but would be higher than Medicare. At least that's what I'm telling myself to keep some of my delusions alive!

We call it the California tax. We make a lot less than the rest of the country ( maybe a few states are exceptions)

 RE Medicare sets the rate.

Oh yes, I agree, but doubly terrible if the Medicare rate is your BEST payor... I shudder.

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.com

Office: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]



Problem is that Medicare is your roof -- the commercials thus do NOT believe that Medicare is realistic.

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

Reply to sender | Reply to group | Reply via web post | Start a New Topic

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]



Problem is that Medicare is your roof -- the commercials thus do NOT believe that Medicare is realistic.

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

Reply to sender | Reply to group | Reply via web post | Start a New Topic

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

[Guest guest]



Problem is that Medicare is your roof -- the commercials thus do NOT believe that Medicare is realistic.

Blue Cross Rejection letter

Do you thin it would be illegal for me to publish this rejection letter from BX. I had asked for an increase in my pay rate to the Medicare rate ( they are the highest payer in CA). It said stuff like how lucky I am to be able to have them provide me with patients, how fortunate I am to have available to me all these services, etc. Should I respond to them and if so how? Anyone get one of these letter and had a successful rebuttal? BX is my lowest payer, and the most hassle. Considering my practice is full, ie not taking new pts, may be I should drop them...but my BX pts are some of my favorite pts.

M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

Reply to sender | Reply to group | Reply via web post | Start a New Topic

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.