Can I discuss managed care agreements with my colleagues? Can my colleagues and I boycott a managed care company? Can I share negative information about a managed care organization? May I attend a meeting to discuss managed care with my colleagues? Am I OK if others doctors discuss managed care but I do not say anything? Can I ask another doctor to negotiate a managed care agreement for me? Can the WCA recommend whether I should join a particular managed care company? I have a question on pricing or managed care. What should I do? What are the pros and cons of signing a managed care agreement? Is it true when a managed care company says that its “agreements are non-negotiable”? Where can I find of list of Wisconsin managed care companies? Must a managed care company respond to my application? What is the best strategy for getting on a managed care panel? Who is responsible for selecting providers for a managed care company? What problems are most likely to get a chiropractor terminated from a managed care panel? What is the purpose of the “satisfaction surveys” put our by managed care companies? What are subrogation rights? Why are subrogation rights important? Why are managed care applications so difficult? How can I calculate how their capitation offer compares to my usual charges? How can I determine how a complicated reimbursement offer compares to my regular prices? What does it mean when a managed care company acts as my agent? Is there risk when a managed care company requires me to provide the same quality of care as other patients? What does it mean to prove 24/7 coverage? Is it a violation of the law to sign an agreement that contains obsolete CPT codes? Is there a risk to letting a managed care company negotiate on my behalf? Is my practice potentially being limited if my care must be approved by a medical doctor? Are managed care application fees normal? Can I be bound to standards set by the American Medical Association? Must I provide care if the managed care company goes bankrupt? Is it legal to require me to provide care for 180 days after I terminate my agreement? How do I know if a participation fee is worth it? Is it less risky for a managed care company to negotiate my capitated fees? Are there special risks associated with reimbursement “pool arrangements.” Do I have to worry about an under-capitalized managed care plan? Why would a managed care company want me to take my CE through them? Can a non-compete clause with a manage care company hurt me? My managed care agreement states that I may not delegate the performance of any of the covered services. Does this mean my properly trained CA cannot assist in my work? Can the managed care company require me to submit claims electronically? Can a managed care company stop me from putting their name/symbol in my ad Is there a risk to being paid flat fees for exams? How do I evaluate the client list of an IPA? I have never dealt with “per diem” rates. What are they? Can a managed care plan refuse to pay me for physical therapy modalities? Must I bill the managed care company for the care related to an auto accident? Are there risks to being required to pre-authorize my care? Can a managed care company make retroactive deductions from my check? Are chiropractors primary care providers? Are plans that reimburse on a relative value basis more fair than other types of reimbursement? Can a managed care company use different conversion factors for MDs? What are the implications if I must transfer a copy of the patient records to another chiropractor when I leave a managed care plan? Can a managed care company have me sign before I know what I am going to be paid? Is there a risk attending the managed care companies educational programs? Can I be required to participate in a managed care companies “special studies”? Is there a risk in limiting myself to the techniques allowed by the managed care company? What does an agreement mean when it includes the language that the “provider agrees to promptly disclose to the plan any information regarding your professional capacity that may or could have a detrimental impact on the plan? Must a managed care company hire chiropractors with the best credentials? How can I get a clue if a managed care plan is running out of money? What is a self insured plan? What company is likely to be self insured? Is it a violation of the law if a managed care plan does not have female providers on its panel? Are there any “general rules” that I should use as I review a managed care agreement? Am I better off joining a bad managed care plan just to get “my foot in the door”? When a managed care plan adds providers, must they accept those that applied first? Must managed care companies have female doctors on their panels? Does a managed care company have different agreements? What is a “closed panel” plan? Must a managed care company hire a certain number of chiropractors in each area? What is a “defined network plan”? What is a “health maintenance organization (HMO)”? What is an “open panel” plan?
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