Insurer Agreements - Coaching

Insurer payments for your MRI scans - Module #12

After determining the Managed Care, Commercial, and Government insurance agreements in the client service area, we assist in negotiating and implementing advantageous reimbursement agreements for all of your MRI studies.

Well negotiated Payer and Insurer Agreements should be underway. They will make your MRI Imaging Center Project a comfortable and exciting process, not a concern for you and your partners!

In this Coaching and As Needed Consultation and Assistance Module, we will discuss Insurer payments for your MRI scans:

  • Are you part of an existing medical practice entity, such as a single-specialty medical practice group, multi-specialty medical group, ASC, or another?
  • At what stage of development is your MRI Imaging Center at present?
  • Are you an existing medical practice or ASC, adding MRI services, or a new entity such as an IDTF just starting a new entity with MRI services?
  • Do you currently have a billing and collections entity, or will you outsource that service?
  • Have your team members previously negotiated multiple managed care contracts for MRI services and CPT codes?
  • Have you conducted any analysis in the MRI Imaging Center site community regarding possible payments for MRI services for your CPT codes and services?
  • Do you have any specific Imaging Niche that you intend to fill? If so, it will need to be negotiated with the ability to be reimbursed for those Niche services, such as brain, spine, abdomen, etc.
  • In your community, at Independent and other imaging centers, if you were going to self-pay with no insurance, what would you have to pay for each of the three categories of MRI scans: MRI only, MRI with Contrast, or MRI with and Without Contrast?
  • We can answer your many possible questions, discuss your current practice insurer agreements, provide talking and negotiation positions, provide an understanding of terms, conditions, and possible MRI CPT rate structures that our client might wish to see offered, and also discuss any interest in possible additional managed care negotiation and contracting assistance you might wish to consider.

Read more about the steps that ensure your MRI Imaging Center Project will be an asset to your medical practice:

Insurer Agreements – Full Service – 12

Securing Funding – Coaching – 9

Financial Analysis – Full Service – 3