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negotiating prices for your provider

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isabelreyna:
Does somebody have experience negotiating prices for your provider with the payers and if so where do I learn to do that. I have a potential client..... :D

PMRNC:
I have done this but it's a part of full credentialing. It involves a lot of research and review of all contracts (old/current) and obtaining data for each geographical area. You also want to make sure the practice has an attorney on hand to review and/or negotiate the contracts with the negotiations. Many times it is not JUST the fees that need negotiating.

isabelreyna:
A provider call me, she told me she just starting out. I would like to learn how to do negotiating since I don't want to say no to a provider or I will not get any business. Where did you learn how to research or where to go? this is my e-mail isabelreyna1962@wowway.com if you have time?

PMRNC:

--- Quote ---A provider call me, she told me she just starting out. I would like to learn how to do negotiating since I don't want to say no to a provider or I will not get any business. Where did you learn how to research or where to go? this is my e-mail isabelreyna1962@wowway.com if you have time?
--- End quote ---

I have no idea of your experience so it's hard to answer this.. I can't SAY this is a "LEARNED" service but rather one that comes from experience with credentialing and of course knowing medical billing. I also NEVER do this tier of credentialing unless the client is going to have an attorney sign off on all negotiations of both fee schedule and contract. This really isn't a service you can "learn" it comes from experience.. years really. Saying no to a provider might be a better option than saying yes and screwing things up.. this is a VITAL piece of credentialing and you don't want to go into it not knowing what your doing.

kristin:
Agree with Linda, credentialing/fee negotiation/contracting is not easy, and I have seen what happens when someone tries to do it for a provider when they have no experience with it. The end result was not pretty, to say the least. The biller lost the client half-way through the process because so many mistakes happened.

It is something I would have an experienced credentialer or healthcare attorney handle. While I understand wanting to sign a client, the client has to understand that some things can't be handled by you at this point, and are best done by someone who specializes in it.

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