EnableComp Blog

The $547,775 Error I Found in a Work Comp PPO Contract

Posted by Jesse Larrison on Dec 5, 2017 7:15:00 AM

Most hospitals that I encounter have at least a few Preferred Provider Organization (PPO) Network contracts that include workers’ compensation. Some have dozens. These contracts range from super simple 1-page Letters of Agreement, to massively complex multi-line managed care agreements. Hospitals typically devote staff to developing and managing these contracts, but just as is true with Group Health or Commercial contracts, work comp contracts have the same propensity for errors and abuse and left unchecked these blunders could cost hospitals dearly.

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Topics: Workers' Comp Billing, Workers' Compensation Reimbursement, Healthcare financial challenges, Revenue Cycle Management, Work Comp PPO Contract, Provider Payer Relations