Getting on with insurance panels

[texanpsychdoc]

Ok, I will admit this is an area I could use some assistance in. Back in Ohio in my former LLC I attempted to get on with United Healthcare I believe and their website basically outlined I needed to first go through CAQH. I did that. I gave up as I was just so confused as to how I could go about getting on with insurance panels. Fast forward to present-day. I have since updated my CAQH with the relevant info now that I live in Texas. In the portal, it shows a document that is outstanding called "DPS" - what is this?

Outside of that, I truly am confused as to how I could get on board with BCBSTX, Cigna, Aetna. Those are the ones I want to target based on the brief research I've done regarding their reimbursement rates relative to their competitors. Anybody have any thoughts or suggestions?

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[WisNeuro]

Ok, I will admit this is an area I could use some assistance in. Back in Ohio in my former LLC I attempted to get on with United Healthcare I believe and their website basically outlined I needed to first go through CAQH. I did that. I gave up as I was just so confused as to how I could go about getting on with insurance panels. Fast forward to present-day. I have since updated my CAQH with the relevant info now that I live in Texas. In the portal, it shows a document that is outstanding called "DPS" - what is this?

Outside of that, I truly am confused as to how I could get on board with BCBSTX, Cigna, Aetna. Those are the ones I want to target based on the brief research I've done regarding their reimbursement rates relative to their competitors. Anybody have any thoughts or suggestions?

Ask around for credentialing specialists if you don't want to handle this. They can usually do most of it for a few hundred. Also, consider just doing evals with medicare. Usually with the medicare+supplemental, it pays more than the other insurers for testing codes. Given how clinical is an ever decreasing part of my schedule, I may just drop off BCBS and a couple others given how much of a hassle they are , and for not paying more.

 

[texanpsychdoc]

Ask around for credentialing specialists if you don't want to handle this. They can usually do most of it for a few hundred. Also, consider just doing evals with medicare. Usually with the medicare+supplemental, it pays more than the other insurers for testing codes. Given how clinical is an ever decreasing part of my schedule, I may just drop off BCBS and a couple others given how much of a hassle they are , and for not paying more.

Excellent feedback. I appreciate it. Makes sense.

 

[texanpsychdoc]

Ask around for credentialing specialists if you don't want to handle this. They can usually do most of it for a few hundred. Also, consider just doing evals with medicare. Usually with the medicare+supplemental, it pays more than the other insurers for testing codes. Given how clinical is an ever decreasing part of my schedule, I may just drop off BCBS and a couple others given how much of a hassle they are , and for not paying more.

Is there a particular company you'd recommend?

 

[PsyDr]

Ask around for credentialing specialists if you don't want to handle this. They can usually do most of it for a few hundred. Also, consider just doing evals with medicare. Usually with the medicare+supplemental, it pays more than the other insurers for testing codes. Given how clinical is an ever decreasing part of my schedule, I may just drop off BCBS and a couple others given how much of a hassle they are , and for not paying more.

You have to keep a clinical practice. It’s one of the qualifiers they use in forensic work.

 

[WisNeuro]

You have to keep a clinical practice. It’s one of the qualifiers they use in forensic work.

Yup, never planned on dropping clinical, just several non-medicare payers, as they don't pay more than medicare here and they are a hassle to deal with. I can easily fill the clinical slots with patients who have Medicare plus supplemental. Anyone else wants a timely eval, I'll offer a flat rate and a superbill if they want to get reimbursement.

 

[WisNeuro]

Is there a particular company you'd recommend?

Ask around to other private pracrice folks, or your state association listserv, lots of people will use a local-ish person who knows the insurers in your area.

 

[texanpsychdoc]

On a somewhat different not - what are folks doing for intelligence testing remotely (if at all)? I know parts of the WAIS can be administered remotely, but basically the PRI and PSI are out which means you can't get the FSIQ and will instead need to rely on the GAI. I am looking at potential test options that can be done completely remotely.

 

[WisNeuro]

On a somewhat different not - what are folks doing for intelligence testing remotely (if at all)? I know parts of the WAIS can be administered remotely, but basically the PRI and PSI are out which means you can't get the FSIQ and will instead need to rely on the GAI. I am looking at potential test options that can be done completely remotely.

I won't do anything aside from clinical interviewing and brief screening remotely.