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#10090 07/31/2008 1:23 PM
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i may be changing office locations due to the high cost of rent. How do I go about changing things with the insurance? What about medicare? I know I would have to send letters to all of my patients. Has anyone gone through this process? What was the timeline with the move etc? If I do go through with the move, I want to be prepared and want to try and make things as seemless as possible.

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sFernandez, I am going thru the "credentialing" process. If you are simply changing your Address that is a fairly straight process or notifying the Insurance companies of your change of address. If you are going to be operating under a new Tax ID it's a "re-credentialing," and most of them advise 60 days!

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sFernandez,whatever you do, notify Medicare of the date that you are moving as soon as possible. When I moved my office two years ago, it took Medicare *nine months* to acknowledge my existance and resume paying me! Even with a certified delivery letter, it took 7 weeks from the time the change of address was mailed to them for the request to come to the attention of one of their minions, and another 7 and a half months to recieve payment. It's totally outrageous. Consider going non-par and collecting from the patients, unless your cash flow from other payers is adequate to withstand prolonged bureaucratic delay.

Last edited by FasterHorses; 08/05/2008 12:00 AM.
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Look, lets just be straight-forward about this. Unless your practice is in an area dwhere you NEED (not Want) the Medicare patients to be profitable, you should be non-par. Really. As bad as the insurance companies are, the Gov't is worse. Big-time.

Those feelings you have about "giving back to the community". You really have to hold them back. Once you are comfortably profitable,you can think about it.



Wayne
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Wow it is an eye opener to listen to folks from other parts of the country. In my neighborhood, Medicare is the good stuff! And Medi-medi is like a gold card.


Martin T. Sechrist, D.O.
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Ditto here, Martin. Other than the 3 months it took for Medicare to pay me after I made my office move last year, I would much rather deal with them than with the "commercials".

Leslie


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Hospital Employed Physician Who Misses The Old AC

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Yes, Martin, I guess you are right about that. It is an eye-opener. But I think that I had read someplace that in a couple of states 1 insurance company (BCBS maybe) gained an overwhelming marketshare and dropped their reimbursements to 90% or Medicare. I just didn't know which states.


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Can anyone here say.... "CARTEL!!!"?????


"Beware of the Medical Industrial Complex"
"The Insurance Industry is a Legalized CARTEL"

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