Insurance Contract Red Flags Every Practice Should Watch For

  • Insurance Contracts Are Critical: Poorly reviewed contracts can lead to revenue loss, denied claims, and patient dissatisfaction.
  • Watch for Red Flags: Look out for low reimbursement rates, vague terms, hidden pre-approvals, and unclear appeal processes.
  • Avoid Outdated Systems: Say no to contracts that demand excessive paperwork or use old billing portals—digital tools boost efficiency.
  • Negotiate Fair Cancellation Terms: Ensure both parties can terminate contracts with balanced notice periods (ideally 60–90 days).
  • Set Clear Payment Schedules: Confirm payment timelines (e.g., 15–30 days) to maintain steady cash flow.
  • Do Your Homework Before Signing: Compare fee schedules with Medicare rates, get legal advice, and clarify all unclear terms.
  • Partner with Practolytics: Get expert help in reviewing, negotiating, and managing contracts to maximize your revenue and minimize stress.

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