Author Topic: usuall and customary charges  (Read 4155 times)

Pay_My_Claims

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Re: usuall and customary charges
« Reply #15 on: July 05, 2009, 08:10:32 AM »
Yeah if the network is closed it's more difficult.. Can you think of anything your practice has that others in same geographic location do NOT have? what about access.. If you can find a "niche" , "service" , or accessibility improvement you can get into a closed network. For example (not DME) I had a client who was a psychologist, we were able to get him into a few "closed" networks because he was doing a procedure called EMDR for PTSD and he was the only one in that geographical location to offer it. Another one of my clients catered to children with Downs Syndrome and Autism so we were able to get him also into some closed panels.

Yes we are working on that because we do offer the custom rehab and we are linked to the 2 largest hospitals in eastern NC. We are currently billing through a network provider and paying them a fee to process our claims.