Physician Practice

Pursue PPOs when they underpay your practice

Physician Practice Perspective, October 1, 2005

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Picture this: A provider discovers one month that his preferred provider organization (PPO) underpaid his facility. The contract says that both parties must mutually agree to any fee schedule adjustments, but the provider received no notice. He decides to sue the PPO for breach of contract. But because PPOs aren't heavily regulated, will he have any legs to stand on?

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Physician Practice Perspective.

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