{"id":816,"date":"2016-08-01T21:10:07","date_gmt":"2016-08-01T21:10:07","guid":{"rendered":"http:\/\/blogadvancedpracticemanagement.webaloo.com\/?p=816"},"modified":"2016-08-01T21:10:07","modified_gmt":"2016-08-01T21:10:07","slug":"new-patient-flow-and-ppo-participation","status":"publish","type":"post","link":"https:\/\/blog.advancedpracticemanagement.com\/blog\/new-patient-flow-and-ppo-participation\/","title":{"rendered":"NEW PATIENT FLOW AND PPO PARTICIPATION"},"content":{"rendered":"<p>We all know that insurance\u00a0participation (namely PPO\u00a0participation) affects new patient flow.<br \/>\nPractices with little or no insurance participation\u00a0generally, not always, get less new patients than\u00a0practices with more participation. However, is\u00a0there a point where there are diminishing returns on\u00a0increased PPO participation? That\u2019s the question\u00a0we looked into.<\/p>\n<p>Anecdotally, it\u2019s been my experience that practices\u00a0that participate in almost every PPO available don\u2019t\u00a0necessarily get that proportionally a greater number\u00a0of new patients. So, we asked our statistics guy,\u00a0Anantha Santhanam, to look into our considerable\u00a0database and sort this out.<\/p>\n<p>As a marker for PPO participation, we use the\u00a0collection percentage. With increased PPO\u00a0participation, the collections percentage (gross\u00a0collections\/gross production) is going to be less\u00a0than for offices with no PPO write offs.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-817 alignnone\" src=\"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img1-300x205.jpg\" alt=\"img1\" width=\"300\" height=\"205\" srcset=\"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img1-300x205.jpg 300w, https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img1.jpg 371w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>The graph shows that with zero or very little\u00a0insurance participation new patient numbers are<br \/>\nquite low. However, when you get past mid-range\u00a0participation (so that the collection percentage is\u00a0under 80%- 84% in our area), the marginal increase\u00a0in new patients for the increased write offs fades\u00a0quickly.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-818 alignnone\" src=\"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img2-300x224.jpg\" alt=\"img2\" width=\"300\" height=\"224\" srcset=\"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img2-300x224.jpg 300w, https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-content\/uploads\/2016\/08\/img2.jpg 374w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><span style=\"text-decoration: underline;\">As with all things, balance matters<\/span>. Balancing PPO\u00a0participation is just as important as it used to be to\u00a0have your fees balanced and set wisely. In fact, PPO\u00a0participation decisions are beginning to trump fee\u00a0setting as far as importance to your actual\u00a0reimbursement levels.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We all know that insurance\u00a0participation (namely PPO\u00a0participation) affects new patient flow. Practices with little or no insurance participation\u00a0generally, not always, get less new patients than\u00a0practices with more participation. However, is\u00a0there a point where there are diminishing returns on\u00a0increased PPO participation? That\u2019s the question\u00a0we looked into. Anecdotally, it\u2019s been my experience that practices\u00a0that participate in almost [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wds_primary_category":0,"footnotes":""},"categories":[24,28,36],"tags":[],"class_list":["post-816","post","type-post","status-publish","format-standard","hentry","category-apm-news","category-apm-surveys","category-bulletin-articles"],"_links":{"self":[{"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/posts\/816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/comments?post=816"}],"version-history":[{"count":0,"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/posts\/816\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/media?parent=816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/categories?post=816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.advancedpracticemanagement.com\/blog\/wp-json\/wp\/v2\/tags?post=816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}