David Zetter on Evaluating Insurance Companies and Plans

If you take health insurance as payment, then choosing good payers makes sense. How do you figure out which payers to contract with? It’s a logical question that has a very involved, sometimes not so logical answer. My guest today helps his clients work successfully with insurance companies, including which ones to contract with, and he’ll share some tips with us.

David Zetter is the founder and President of Zetter HealthCare, LLC in Mechanicsburg, PA and has over 24 years of operational and healthcare experience. David is nationally recognized for his speaking, presentations and healthcare business expertise. He is well versed in regulatory requirements, revenue cycle management, credentialing and contracting, compliance, and coding and documentation. He is considered an expert on Medicare, not only by his clients, but also through consultant colleagues and healthcare attorneys across the country. David is an expert on ERISA regulations, which protect over 80% of the claims in the US. He knows how to stop payor recoupments dead in their tracks, and what is legal and illegal in many payor contracts.

In this episode Carl White and David Zetter discuss:

1. How to decide which insurance companies and plans to contract with
2. How to evaluate the payor, their contract, their reimbursement rates and other criteria for participation
3. Additional tips that can be done to properly evaluate payor and plan proposals?

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Connect with David Zetter

https://zetter.com/

https://www.linkedin.com/company/zetter-healthcare/

https://www.facebook.com/zetterhc

https://www.instagram.com/zetterhealthcare/

Connect with Carl White

Website: http://www.marketvisorygroup.com

Email: [e-mail]

Facebook: https://www.facebook.com/marketvisorygroup

YouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmig

LinkedIn: http://www.linkedin.com/in/healthcaremktg