Discount Contracts
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Apr 14, 2023
Coventry Emails Expose PPO/MPN Mirage
A series of emails between a California doctor and Coventry expose the unvarnished truth about Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs). <...
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
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Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering. Three separate bills from the same provider to the same insurer...
Mar 14, 2023
Your PPO Questions (So Far)
It’s almost time — we’re gearing up for our free live webinar on the financial danger Preferred Provider Organizations (PPOs) pose for practices that treat inju...
Jun 8, 2022
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...
May 2, 2022
Conduent Repeatedly Badgers Doctor With Calls
California law establishes an Official Medical Fee Schedule (OMFS), which lists reimbursements owed to providers who agree to treat injured workers. But rather than reimbursi...
Apr 28, 2022
Mitchell Hustles for MPA, Insurance Co. of the West
California workers’ comp doctors, keep screening your phone calls. Mitchell International, on behalf of the Municipal Pooling Authority (MPA) and Insurance Company of the Wes...
Apr 21, 2022
Alert: Mitchell Hustles Providers for Liberty Mutual
Providers, be warned: Mitchell International, a company offering “workers’ compensation bill review & claims management services,” seems to be playing the hustler on behalf o...
Mar 16, 2022
How to Identify PPO Reductions (Part I)
Daily, we hear from workers’ comp providers requesting help with identifying whether Pilfering Provider Organizations (aka: PPOs) are hijacking the funds intended to pay for ...
Mar 1, 2022
Triton Gouges Providers - Pays 78% of Medicare Rates
Triton Healthcare Partners and Apricus (formerly Preferred Care Solutions) are collaborating with other Preferred Provider Organization (PPO) entities to hijack payments from...
Nov 17, 2021
Lien Chaos Returns: DWC Rules for Anthem (Part III)
California’s Division of Workers’ Compensation (DWC) has a duplicity problem. In the third chapter of our series on The Zenith and Anthem Blue Cross, we discover that ...
Nov 16, 2021
Zenith Boots Doctor From MPN per Anthem PPO (Part II)
Our tale of one doctor’s struggle with the Anthem Blue Cross Preferred Provider Organization (PPO) took a disturbing — if predictable — turn.Despite a doctor’s request...