Re: Practice update and negotiating

[Guest guest]

Ooh. Nice letter.

Lynn

>

>Reply-To:

>To:

>Subject: Practice update and negotiating

>Date: Mon, 04 Jun 2007 21:17:24 -0000

>

>Hello everyone

>

>Just a little practice update from NC. I'm starting to see a few

>folks, with a little bit of cash money coming in, and starting to file

>other claims. Can't wait until expenses are covered, at least, which

>should be soon. With no advertising expense except business cards.

>

>The best insurance advice I got (from here, of course) was to be ready

>to walk away from a bad contract. The worst (from everywhere else) was

>that the solo doc can't negotiate prices. I've successfully negotiated

>my 2 worst fee schedules into my 2 best. The last one, a national

>player, told me that they had given me their " final offer " . I then

>sent them the e-mail below, and their fees for my most common codes

>jumped 30%. Yay for the little guy.

>

> Haresch

>

>

>Dear -,

>

>Thank you for your assistance with this process.

>

>I have reviewed your contract and its requirements and payment terms.

>I do not find that its terms are sufficiently favorable to assist my

>practice's ability to survive or to provide adequate service for your

>patients. Therefore, I am unable to sign it or to agree to participate

>with your payment plans.

>

>My hope is that you will encourage the management of your company to

>reconsider their position on so significantly undervaluing cognitive

>services in health care. It is clear to me that the excess value

>placed by firms such as yours on procedural medicine is leading to

>markedly increased costs for our system. I daily see evidence of

>medical providers rushing patients through visits with little thought,

>but showering them with a bevy of tests and referrals, many

>unnecessary. Fees schedules such as yours strongly encourage this

>behavior.

>

>I would welcome repeat contact and would reconsider participation if

>these issues are addressed.

>

>Again, thank you for your consideration.

>

_________________________________________________________________

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[Guest guest]

Ooh. Nice letter.

Lynn

>

>Reply-To:

>To:

>Subject: Practice update and negotiating

>Date: Mon, 04 Jun 2007 21:17:24 -0000

>

>Hello everyone

>

>Just a little practice update from NC. I'm starting to see a few

>folks, with a little bit of cash money coming in, and starting to file

>other claims. Can't wait until expenses are covered, at least, which

>should be soon. With no advertising expense except business cards.

>

>The best insurance advice I got (from here, of course) was to be ready

>to walk away from a bad contract. The worst (from everywhere else) was

>that the solo doc can't negotiate prices. I've successfully negotiated

>my 2 worst fee schedules into my 2 best. The last one, a national

>player, told me that they had given me their " final offer " . I then

>sent them the e-mail below, and their fees for my most common codes

>jumped 30%. Yay for the little guy.

>

> Haresch

>

>

>Dear -,

>

>Thank you for your assistance with this process.

>

>I have reviewed your contract and its requirements and payment terms.

>I do not find that its terms are sufficiently favorable to assist my

>practice's ability to survive or to provide adequate service for your

>patients. Therefore, I am unable to sign it or to agree to participate

>with your payment plans.

>

>My hope is that you will encourage the management of your company to

>reconsider their position on so significantly undervaluing cognitive

>services in health care. It is clear to me that the excess value

>placed by firms such as yours on procedural medicine is leading to

>markedly increased costs for our system. I daily see evidence of

>medical providers rushing patients through visits with little thought,

>but showering them with a bevy of tests and referrals, many

>unnecessary. Fees schedules such as yours strongly encourage this

>behavior.

>

>I would welcome repeat contact and would reconsider participation if

>these issues are addressed.

>

>Again, thank you for your consideration.

>

_________________________________________________________________

Play games, earn tickets, get cool prizes. Play now–it's FREE!

http://club.live.com/home.aspx?icid=CLUB_hotmailtextlink1

[Guest guest]

Good for you! Bravo!

Kathy Saradarian, MD

Branchville, NJ

Solo low-staff practice since

4/03

In practice since 9/90

Practice Partner User since 5/03

[Guest guest]

Good for you! Bravo!

Kathy Saradarian, MD

Branchville, NJ

Solo low-staff practice since

4/03

In practice since 9/90

Practice Partner User since 5/03

[Guest guest]

From Joanne..... , why not send your letter to the New York Times with a short cover letter about why you sent it and what happened... I think patients in general should know why their real concerns about short visits and excess testing are being given short shrift. Your letter is short, polite, and opens a can of worms... Joanne the MD in Drain, Oregon Haresch wrote: Hello everyoneJust a little practice update from NC. I'm starting to see a fewfolks, with a little bit of cash money coming in, and starting to fileother claims. Can't wait until expenses are covered, at least, whichshould be soon. With no advertising expense except business cards.The best insurance advice I got (from here, of course) was to be readyto walk away from a bad contract. The worst (from everywhere else) wasthat the solo doc can't negotiate prices. I've successfully negotiatedmy 2 worst fee schedules into my 2 best. The last one, a nationalplayer, told me that they had given me their "final offer". I thensent them the e-mail below, and their fees for my most common codesjumped 30%. Yay for the little guy. HareschDear -,Thank you for your assistance with this

process.I have reviewed your contract and its requirements and payment terms.I do not find that its terms are sufficiently favorable to assist mypractice's ability to survive or to provide adequate service for yourpatients. Therefore, I am unable to sign it or to agree to participatewith your payment plans.My hope is that you will encourage the management of your company toreconsider their position on so significantly undervaluing cognitiveservices in health care. It is clear to me that the excess valueplaced by firms such as yours on procedural medicine is leading tomarkedly increased costs for our system. I daily see evidence ofmedical providers rushing patients through visits with little thought,but showering them with a bevy of tests and referrals, manyunnecessary. Fees schedules such as yours strongly encourage thisbehavior.I would welcome repeat contact and would reconsider participation

ifthese issues are addressed.Again, thank you for your consideration.

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[Guest guest]

From Joanne..... , why not send your letter to the New York Times with a short cover letter about why you sent it and what happened... I think patients in general should know why their real concerns about short visits and excess testing are being given short shrift. Your letter is short, polite, and opens a can of worms... Joanne the MD in Drain, Oregon Haresch wrote: Hello everyoneJust a little practice update from NC. I'm starting to see a fewfolks, with a little bit of cash money coming in, and starting to fileother claims. Can't wait until expenses are covered, at least, whichshould be soon. With no advertising expense except business cards.The best insurance advice I got (from here, of course) was to be readyto walk away from a bad contract. The worst (from everywhere else) wasthat the solo doc can't negotiate prices. I've successfully negotiatedmy 2 worst fee schedules into my 2 best. The last one, a nationalplayer, told me that they had given me their "final offer". I thensent them the e-mail below, and their fees for my most common codesjumped 30%. Yay for the little guy. HareschDear -,Thank you for your assistance with this

process.I have reviewed your contract and its requirements and payment terms.I do not find that its terms are sufficiently favorable to assist mypractice's ability to survive or to provide adequate service for yourpatients. Therefore, I am unable to sign it or to agree to participatewith your payment plans.My hope is that you will encourage the management of your company toreconsider their position on so significantly undervaluing cognitiveservices in health care. It is clear to me that the excess valueplaced by firms such as yours on procedural medicine is leading tomarkedly increased costs for our system. I daily see evidence ofmedical providers rushing patients through visits with little thought,but showering them with a bevy of tests and referrals, manyunnecessary. Fees schedules such as yours strongly encourage thisbehavior.I would welcome repeat contact and would reconsider participation

ifthese issues are addressed.Again, thank you for your consideration.

Get the free Yahoo! toolbar and rest assured with the added security of spyware protection.

[Guest guest]

I LOVE IT!

Ramona

Ramona G. Seidel, M.D.

www.baycrossingfamilymedicine.com

Your Bridge to Health

polis, MD

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From: [mailto: ] On Behalf Of Haresch

Sent: Monday, June 04, 2007 5:17

PM

To:

Subject:

Practice update and negotiating

Hello everyone

Just a little practice update from NC. I'm starting to see a few

folks, with a little bit of cash money coming in, and starting to file

other claims. Can't wait until expenses are covered, at least, which

should be soon. With no advertising expense except business cards.

The best insurance advice I got (from here, of course) was to be ready

to walk away from a bad contract. The worst (from everywhere else) was

that the solo doc can't negotiate prices. I've successfully negotiated

my 2 worst fee schedules into my 2 best. The last one, a national

player, told me that they had given me their " final offer " . I then

sent them the e-mail below, and their fees for my most common codes

jumped 30%. Yay for the little guy.

Haresch

Dear -,

Thank you for your assistance with this process.

I have reviewed your contract and its requirements and payment terms.

I do not find that its terms are sufficiently favorable to assist my

practice's ability to survive or to provide adequate service for your

patients. Therefore, I am unable to sign it or to agree to participate

with your payment plans.

My hope is that you will encourage the management of your company to

reconsider their position on so significantly undervaluing cognitive

services in health care. It is clear to me that the excess value

placed by firms such as yours on procedural medicine is leading to

markedly increased costs for our system. I daily see evidence of

medical providers rushing patients through visits with little thought,

but showering them with a bevy of tests and referrals, many

unnecessary. Fees schedules such as yours strongly encourage this

behavior.

I would welcome repeat contact and would reconsider participation if

these issues are addressed.

Again, thank you for your consideration.

[Guest guest]

great idea....to the press!

---- joanne holland wrote:

> From Joanne.....

>

> , why not send your letter to the New York Times with a short

cover letter about why you sent it and what happened... I think patients in

general should know why their real concerns about short visits and excess

testing are being given short shrift. Your letter is short, polite, and opens a

can of worms...

>

> Joanne the MD in Drain, Oregon

>

> Haresch wrote:

> Hello everyone

>

> Just a little practice update from NC. I'm starting to see a few

> folks, with a little bit of cash money coming in, and starting to file

> other claims. Can't wait until expenses are covered, at least, which

> should be soon. With no advertising expense except business cards.

>

> The best insurance advice I got (from here, of course) was to be ready

> to walk away from a bad contract. The worst (from everywhere else) was

> that the solo doc can't negotiate prices. I've successfully negotiated

> my 2 worst fee schedules into my 2 best. The last one, a national

> player, told me that they had given me their " final offer " . I then

> sent them the e-mail below, and their fees for my most common codes

> jumped 30%. Yay for the little guy.

>

> Haresch

>

> Dear -,

>

> Thank you for your assistance with this process.

>

> I have reviewed your contract and its requirements and payment terms.

> I do not find that its terms are sufficiently favorable to assist my

> practice's ability to survive or to provide adequate service for your

> patients. Therefore, I am unable to sign it or to agree to participate

> with your payment plans.

>

> My hope is that you will encourage the management of your company to

> reconsider their position on so significantly undervaluing cognitive

> services in health care. It is clear to me that the excess value

> placed by firms such as yours on procedural medicine is leading to

> markedly increased costs for our system. I daily see evidence of

> medical providers rushing patients through visits with little thought,

> but showering them with a bevy of tests and referrals, many

> unnecessary. Fees schedules such as yours strongly encourage this

> behavior.

>

> I would welcome repeat contact and would reconsider participation if

> these issues are addressed.

>

> Again, thank you for your consideration.

>

>

>

>

>

>

> ---------------------------------

> Get the free Yahoo! toolbar and rest assured with the added security of

spyware protection.

[Guest guest]

Bravo! Love that email. I might borrow it. Lonna Haresch wrote: Hello everyoneJust a little practice update from NC. I'm starting to see a fewfolks, with a little bit of cash money coming in, and starting to fileother claims. Can't wait until expenses are covered, at least, whichshould be soon. With no advertising expense except business cards.The best insurance advice I got (from here, of course) was to be readyto walk away from a bad

contract. The worst (from everywhere else) wasthat the solo doc can't negotiate prices. I've successfully negotiatedmy 2 worst fee schedules into my 2 best. The last one, a nationalplayer, told me that they had given me their "final offer". I thensent them the e-mail below, and their fees for my most common codesjumped 30%. Yay for the little guy. HareschDear -,Thank you for your assistance with this process.I have reviewed your contract and its requirements and payment terms.I do not find that its terms are sufficiently favorable to assist mypractice's ability to survive or to provide adequate service for yourpatients. Therefore, I am unable to sign it or to agree to participatewith your payment plans.My hope is that you will encourage the management of your company toreconsider their position on so significantly undervaluing cognitiveservices in health care. It is clear to me that the

excess valueplaced by firms such as yours on procedural medicine is leading tomarkedly increased costs for our system. I daily see evidence ofmedical providers rushing patients through visits with little thought,but showering them with a bevy of tests and referrals, manyunnecessary. Fees schedules such as yours strongly encourage thisbehavior.I would welcome repeat contact and would reconsider participation ifthese issues are addressed.Again, thank you for your consideration.

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[Guest guest]

Great , good to know that someone could get something out of those guys.FrancesLonna Larsh wrote: Bravo! Love that email. I might borrow it. Lonna Haresch <newfloc> wrote: Hello everyoneJust a little practice update from NC. I'm starting to see a fewfolks, with a little bit of cash money coming in,

and starting to fileother claims. Can't wait until expenses are covered, at least, whichshould be soon. With no advertising expense except business cards.The best insurance advice I got (from here, of course) was to be readyto walk away from a bad contract. The worst (from everywhere else) wasthat the solo doc can't negotiate prices. I've successfully negotiatedmy 2 worst fee schedules into my 2 best. The last one, a nationalplayer, told me that they had given me their "final offer". I thensent them the e-mail below, and their fees for my most common codesjumped 30%. Yay for the little guy. HareschDear -,Thank you for your assistance with this process.I have reviewed your contract and its requirements and payment terms.I do not find that its terms are sufficiently favorable to assist mypractice's ability to survive or to provide adequate service for yourpatients. Therefore, I am unable

to sign it or to agree to participatewith your payment plans.My hope is that you will encourage the management of your company toreconsider their position on so significantly undervaluing cognitiveservices in health care. It is clear to me that the excess valueplaced by firms such as yours on procedural medicine is leading tomarkedly increased costs for our system. I daily see evidence ofmedical providers rushing patients through visits with little thought,but showering them with a bevy of tests and referrals, manyunnecessary. Fees schedules such as yours strongly encourage thisbehavior.I would welcome repeat contact and would reconsider participation ifthese issues are addressed.Again, thank you for your consideration. Choose the right car based on your needs. Check out Yahoo! Autos new Car Finder tool.

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[Guest guest]

AWESOME! Thanks for the copy of your letter. I may use it in the

future. No need now with my very favorable reimbursement.

Thanks for the uplifting report.

Have fun in your new practice!

Pamela

>

> Hello everyone

>

> Just a little practice update from NC. I'm starting to see a few

> folks, with a little bit of cash money coming in, and starting to file

> other claims. Can't wait until expenses are covered, at least, which

> should be soon. With no advertising expense except business cards.

>

> The best insurance advice I got (from here, of course) was to be ready

> to walk away from a bad contract. The worst (from everywhere else) was

> that the solo doc can't negotiate prices. I've successfully negotiated

> my 2 worst fee schedules into my 2 best. The last one, a national

> player, told me that they had given me their " final offer " . I then

> sent them the e-mail below, and their fees for my most common codes

> jumped 30%. Yay for the little guy.

>

> Haresch

>

>

> Dear -,

>

> Thank you for your assistance with this process.

>

> I have reviewed your contract and its requirements and payment terms.

> I do not find that its terms are sufficiently favorable to assist my

> practice's ability to survive or to provide adequate service for your

> patients. Therefore, I am unable to sign it or to agree to participate

> with your payment plans.

>

> My hope is that you will encourage the management of your company to

> reconsider their position on so significantly undervaluing cognitive

> services in health care. It is clear to me that the excess value

> placed by firms such as yours on procedural medicine is leading to

> markedly increased costs for our system. I daily see evidence of

> medical providers rushing patients through visits with little thought,

> but showering them with a bevy of tests and referrals, many

> unnecessary. Fees schedules such as yours strongly encourage this

> behavior.

>

> I would welcome repeat contact and would reconsider participation if

> these issues are addressed.

>

> Again, thank you for your consideration.

>