Rough Transcript: (Watch video for exact)
Honea: Really not too much on the lab outsource side. We're still kind of where we are, large number of claims to BCBS for review, they have those and I haven't heard back on those yet and we're waiting to hear back on that. On aother note HB 3934, the bill for rural hospitals to cooperatively negotiate contracts with commercial payers made it through the Senate, sitting on the governor's desk. ... There hasn't been a whole lot of movement one way or the other
Rough Transcript
Honea: Kind of some good news. The bill we tried to get through has been signed by the governor, allows rural hospitals to combine together to negotiate a single contract with Blue Cross. Moving parts, still trying to figure out how that's going to be structured, working with Torch, 160 hospitals. I don't see that coming to life within a year. MMP is scaling down and going to hold off specimens for awhile. Volume was kind of, not a whole lot there, side burner there,.Blue Cross, nothing has changed there.
Reynolds: Blue Cross is not paying. They're .. MMP, requesting records on most of our therapy claims, which is delay billing, continuous struggle. We met with the attorney yesterday to see what next step is with negotiations with BC. With our contracts, they're not even willing to consider our contract until we get these issues resolved with lab and therapy. No movement there at all. They are paying for other services, only MMP, outpaitient lab and therapy we're not being paid yet with Blue Cross, our biggest payer.
Pat: How long has that been going on?
Honea: Labs been going on for over a year. March....
Reynolds: TDI is not willing to take any action with our claim, same way they handled the one in ? Trying to decide what our next step is
Honea: They're doing what they call prepayment review, they're not paying us and according to the contract, they're supposed to review it but they've taken a stance that they are not even going to pay. Politics.
Reynolds: Continue to accept payments from other payors and ride it out with BC (?) Attorney and consultant who is attempting to negotiate our contract with BC but no action taken until we get the billings issues solved.
Margaret: Less lab work, too much staff now?
Honea: We have staff down, several we haven't replaced. as it goes down a little more, probably another one. Still paperwork, looking at scaling down.
Steven: Any reason to potential of a much more favorable outcome negotating?