We are getting new Aetna patients but recently the payment schedule is at
Medicare less 50% or more. There is no appealing it by phone because nobody
answers their phone lines and a paper appeal gets no acknowledgement.
We are at the point, as a single office clinic to refuse treatment to Aetna
patients because we are working at a loss on everyone single treatment for
the last 90 days.
Question – how do you manage your Aetna patients and make a profit or are
you going out of network?
Question, can we as a profession perhaps pay into a fund and get a lobbyist
to overturn this payment schedule? I have tried to call to discuss the
contractual fee schedule but with no affect. I have considered a third party
billing service but their % would actually make it worse.
Thanks awfully, I’m hopeful that some of you may have found a solution.
John Hattingh CP