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Paul Zimmerman

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Reimbursement: Tricks & Tips

Physicians and Physician groups (“Physicians”) have fallen on tumultuous financial times over the past few years. We have seen across-the-board slashes to Medi-Cal, and annual Congressional “fixes” that barely avoid further cuts to Medicare. Private payers— health insurance companies, health care service plans, ERISA plans, HMO’s, IPA’s and others—continue increasing premiums, but have been reluctant to increase reimbursement rates for Physicians. With the Affordable Care Act (“ACA”) looming, tens of millions of previously uninsured people will suddenly have insurance. How will this impact reimbursement?

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This article is not offered as, and should not be relied on as, legal advice. You should consult an attorney for advice in specific situations.