There are many therapeutic processes, such as ABA therapy, where continuity of care is essential to achieving treatment goals. When a customer switches to a new insurance provider, it is essential to maintain continuity of care or put in place a transition plan to a new network provider. In many of these scenarios, it is often necessary to negotiate an agreement on a case-by-case basis. Regardless of personal circumstances, an SCA must be accepted by both the insurer and the therapist. We recommend that therapists negotiate rates so that they are close to or near current interest. Amvik Solutions not only understands the requirements your agency needs to get a single case agreement, we also recognize that it can be important to get your assurance proof so that you can increase your patient`s burden, receive payment for your rights and do what you can do best – offer useful and quality ABA therapy services. Contact us today at (805) 277-3392 to learn more about our services and how we can help you in your ABA practice. For a current patient who has taken out a new insurance: negotiations We negotiate at Panacea to obtain maximum reimbursements. We start with 85-90% of billing costs by communicating effectively about the patient`s condition and needs. Negotiations are successful if you persist and clinical documentation supports the level of care. To persevere, you must respond to any counter-offer and use underpayments. The insurance company will try to create barriers by extending the approval process. You know you don`t have much time to negotiate.
Also with our huge customer database with additional details on past averages to add to our arsenal. As a psychotherapist in private practice, I decided not to be part of an insurance panel. My patients pay me directly for out of-pocket services. I provide patients with a super-bill (a statement listing data, service codes and payments) that they submit to their insurance company for a-network benefits for reimbursement. Most of these plans have a high franchise rate before all a-network services take effect. Sometimes an insurance company may have a “payment policy with the highest in network rate,” in which case you will not be able to negotiate the rate. You still have the option to refuse the SCA if the sentence and conditions are not acceptable to you.