For this assignment, you are going to create a communication with your clinic owner over an insurance provider’s attempt to negotiate ultrasound reimbursement rates. Your facility was about to raise rates in response to an analysis performed for new equipment needed. Your task is to review the planned reimbursement change and determine whether or not it is feasible for your facility to receive the reduced reimbursement.

Current reimbursement for medically necessary 2D ultrasound: $185; planned change is $200

Current reimbursement for medically necessary 3D ultrasound: $385; planned change is $400

“Independence Insurance has reviewed the following claims and we feel it is time to renegotiate reimbursement rates for ultrasound scans. The current reimbursement rate for 76700 is $185 for 30 minutes of testing and 76770 is $385 for 45 minutes of testing.

The proposed contract rate will change 76700 to $175 for 30 minutes of testing and 76700 to $375 for 45 minutes of testing.”

determine how this change will impact your ability to purchase your equipment upgrade. Then communicate the change request and your findings to your clinic owner. Your email should be a minimum of 300 words including one reference and share your analysis of how the new rates will impact your business.

Answer rating: 100% (QA)

Hello Clinic Owner According to the recent analysis that was performed it seems th... View the full answer