Discount Contracts

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...

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...

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...

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...

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...

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...

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...

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 ...

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...

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 ...

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...

How Zenith & Anthem Swiped a Doctor's Revenue (Part I)

This is Part I of our three-part series on one California doctor’s struggle to protect practice revenue from an unsubstantiated Anthem PPO discount.Anthem Blue Cross e...