A question I often receive is will insurance carriers renegotiate my fee schedule and pay me more for the outpatient therapy services I provide to their beneficiaries? Of course, this is a question I can’t give a definitive answer to, but I always recommend you try, especially if you provide services that are considered sub-specialties. Sub-specialty services could include lymphedema, pediatrics and certified hand therapy.
OptumHealth states the following to providers who want to renegotiate their fee schedule:
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ha, not true.. we get 55 a visit and we have tried to talk with them about getting a raise. They tell us that we treat our patients on average 2 visits to many… We have explained to them that we do a ton of manual therapy and that the Doctors send us their hard cases. They do not care and we haven’t seen an increase in years!
Then if you are not happy with their rate, cancel the contract and go out of network.