How Do You Request A Single Case Agreement
What are the conditions that patients must meet in order to reach an agreement on a case-by-case basis? To obtain a case-by-case agreement, you, as a health care provider, must commit to billing your patient with the insurance company. The goal of the SCAs is to meet the important needs of the patient; billing costs a network provider more than a network provider. The following conditions call into question your patient`s case for an ABA: as an ABA treatment provider, you may consider negotiating a single case contract (CAS) to provide services to a patient. These agreements exist between insurance companies and off-grid providers (OONOs) for which OON is recognized as an in-network provider (D.D.D. While it is usually the patient who asks his insurer for the SCA, on the basis that there are no other INN providers for ABA therapy in their field, your agency still has to agree on the terms and rates for the services provided. Since insurers are not legally required to provide an CAS, it is essential for you to present them with the benefits of providing you with this opportunity. Keep in mind, however, that if you provide the reasons for the need for an SCA, it remains honest and justified. To beautify is to cheat. The application for an SCA is usually in two categories: the new client or the current patient. If you are trying to get an ACS for a new patient, you should consider considering the need of the patient (family) for your specialty and the benefit of your closeness to them. If you help a current patient apply for an CAS from a new insurer, you justify the need for the agreement by insisting on continuity of care. Also keep in mind that you must have defined your patient`s financial responsibility to your agency until an CAS is issued.
You may decide not to provide services until the CAS has been authorized or you can agree on a financial agreement for meetings that are not covered by the agreement (just because an CAS is in good standing does not mean that it will be backdated). Always ask for an SCA for the OON plans you work for to get permission. Consider the following strategies to help you reach agreement on a case-by-case basis: it helps to request agreement on a case-by-case basis while you apply for initial assessment authorization.