{"id":217,"date":"2021-08-13T07:18:15","date_gmt":"2021-08-13T07:18:15","guid":{"rendered":"https:\/\/atlanticrcm.com\/blog\/?p=217"},"modified":"2021-08-13T07:18:15","modified_gmt":"2021-08-13T07:18:15","slug":"how-to-negotiate-fee-increases-with-insurance-companies","status":"publish","type":"post","link":"https:\/\/atlanticrcm.com\/blog\/how-to-negotiate-fee-increases-with-insurance-companies\/","title":{"rendered":"How to Negotiate Fee Increases with Insurance Companies?"},"content":{"rendered":"<p>The importance of physicians, hospitals, and other health care providers has never been recognized more than today when the whole world is fighting a war against COVID 19 pandemic. However, the medical fraternity still faces challenges in maintaining its financial stability. One such significant challenge is to receive fair compensation from the insurance.<\/p>\n<p>Most physicians and other specialists participate in more than one insurance plan after completing several tedious and time-consuming procedural formalities. A seasoned <a href=\"https:\/\/atlanticrcm.com\/medical-billing-coding.php\">medical billing services firm<\/a> can help you get better rates.<\/p>\n<div id=\"attachment_218\" style=\"width: 1034px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-218\" class=\"size-large wp-image-218\" src=\"https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-1024x576.jpg\" alt=\"How to Negotiate Fee Increases with Insurance Companies\" width=\"1024\" height=\"576\" srcset=\"https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-1024x576.jpg 1024w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-300x169.jpg 300w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-768x432.jpg 768w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-260x146.jpg 260w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-50x28.jpg 50w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies-133x75.jpg 133w, https:\/\/atlanticrcm.com\/blog\/wp-content\/uploads\/2021\/08\/How-to-Negotiate-Fee-Increases-with-Insurance-Companies.jpg 1067w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><p id=\"caption-attachment-218\" class=\"wp-caption-text\">How to Negotiate Fee Increases with Insurance Companies<\/p><\/div>\n<p>Read on to find how you can negotiate with your insurance for an increase in reimbursement fees:<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_69_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In this Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/atlanticrcm.com\/blog\/how-to-negotiate-fee-increases-with-insurance-companies\/#Step1_Get_thorough_with_your_insurance_contracts\" title=\"Step#1 Get thorough with your insurance contracts\">Step#1 Get thorough with your insurance contracts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/atlanticrcm.com\/blog\/how-to-negotiate-fee-increases-with-insurance-companies\/#Step_2_Create_terms_to_negotiate\" title=\"Step # 2 Create terms to negotiate\">Step # 2 Create terms to negotiate<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/atlanticrcm.com\/blog\/how-to-negotiate-fee-increases-with-insurance-companies\/#Step_3_Start_a_negotiation\" title=\"Step # 3 Start a negotiation\">Step # 3 Start a negotiation<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Step1_Get_thorough_with_your_insurance_contracts\"><\/span><strong>Step#1 Get thorough with your insurance contracts<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Acquire complete knowledge about the existing contracts\/agreements. Look for the current reimbursement rates and see if these are good enough to bring profitability. A comparison within multiple contracts can help you identify those paying you well or above average, the ones that need negotiations with, and the ones that are paying lower rates. Start planning to negotiate with the second category and consider dropping one or two from the last.<\/p>\n<p>Review the contract renewal dates and inform the insurance company well in advance about your willingness to bargain or drop. Also, review the policy of <a href=\"https:\/\/atlanticrcm.com\/blog\/how-to-increase-patient-collection-in-medical-practice\/\">increasing reimbursements<\/a> as laid by the insurance. Does the policy include any waiting period before requesting a raise?<\/p>\n<p>Study your working relationship with the existing insurance. Check for administrative issues or percentage of full compensations and reasons for denials to claims? Accordingly, calculate the worth of being empaneled with the payer or not.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Step_2_Create_terms_to_negotiate\"><\/span><strong>Step # 2 Create terms to negotiate<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Collect facts, data, and information to make for a strong justification. Assess your position in the community where you are operating. If you are an old practice in the area catering to a large group of loyal patients or you provide specialist services that no one else is, then your position is strong enough to negotiate your terms for increment.<\/p>\n<p>Review how much your practice contributes to the revenue of the insurance company. Larger volumes are sure to enhance your position.<\/p>\n<p>Consider the last time a raise in reimbursement rate was given and the percentage of increment. If this was increased in the past, argue on the same percentage with the same reasons as stated last time. If there has been no increase in the past, argue about the swelling operating expenses.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Step_3_Start_a_negotiation\"><\/span><strong>Step # 3 Start a negotiation<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Once you have understood who you have to negotiate with and on what terms, the final step is to begin the talk.<\/p>\n<p>You can write to or call your representative from the insurance and explain that you need to negotiate your terms of the contract with the company. Before doing this, you must keep a record of the contract renewal dates.<\/p>\n<p>Prefer to meet in person with the decision-maker and interact with an open mind. Don\u2019t get laid by the strength in their argument or the fear of survival. Negotiation is an art and you surely want to excel in it, with facts.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The importance of physicians, hospitals, and other health care providers has never been recognized more than today when the whole world is fighting a war against<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":218,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Negotiate Fee Increases with Insurance Companies? - Atlantic RCM<\/title>\n<meta name=\"description\" content=\"The importance of physicians, hospitals, and other health care providers has never been recognized more than today when the whole world is fighting a war\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atlanticrcm.com\/blog\/how-to-negotiate-fee-increases-with-insurance-companies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Negotiate Fee Increases with Insurance Companies? 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