What you might see
- Some plans pay CRNAs the same rate as anesthesiologists for non-directed cases
- Some pay a reduced percentage of the physician rate
- Some only contract with the group, not individual CRNAs
Find out what you're paid
Look at your payments by payer and compare the amount per unit. If one plan pays much less, check your contract. It may say a reduced percentage, or it may be paying incorrectly.
Negotiate
Bring data: your volume, your quality, and how hard it would be for the plan's members to get care without you. See negotiating commercial rates.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
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What to check in a commercial payer contract before you sign or renew.
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