Single Case Agreement Blue Shield

The already existing therapeutic relationship with the current provider can be considered as a factor in the allocation of sca. If you receive an ACS for a current patient for continued treatment, the negotiated rate is based on the patient`s informed consent and consent at the start of treatment with you. Rate increases will be consistent with your pricing policy in informed consent. You can`t charge the patient a lower mobile rate out of pocket and then charge the insurance company your normal full rate if the SCA is back to cover past meetings. What needs to be considered when approving agreements on a case-by-case basis Approving an agreement on a case-by-case basis can be a tedious and tedious task. Our task is to help you in this task. However, if the FCC has been approved, our task is not complete. In this regard, we need your support to take into account the following aspects: As it is inclusive, the agreement on a case-by-case basis We have already mentioned how you should focus on the services contained in the agreement. If your patient needs multiple treatments and therapies, the contract must cover reimbursement for billing for all or the maximum number of treatments. As an ABA therapy provider, you may want to consider negotiating a single case agreement (SCA) to offer services to a patient.