PTPN sees 9% increase in California claims volume 2 years in a row
This increase follows the same level of growth in 2018, when claims volume was 9% higher than in 2017.
"This year-over-year growth means PTPN is helping providers thrive in spite of the uncertainty and competition in the healthcare marketplace,"
The $61 million in claims volume reported by PTPN providers in California for 2019, up 9% from 2018, represents patients seen via the nearly 100 managed care contracts that PTPN secures on behalf of its providers. The average charge billed by PTPN members was nearly flat, so this shows an actual increase in business per member.
One reason for the increase is PTPN's newest program, PTPN CompDirect. PTPN CompDirect links workers' compensation payers, providers, and patients transparently. "PTPN CompDirect expanded from a pilot program to full implementation in 2019," said PTPN Vice President Nancy Rothenberg. "The program is growing in response to dissatisfaction with the 'middleman' organizations that rebill physical medicine and keep a large portion of reimbursement."
In PTPN CompDirect, payers pay providers directly. There's no middleman billing the payer and paying only a fraction of the payment to the provider, which slows down payment, frustrates providers, and jeopardizes the injured workers' experience.
To learn more, visit https://www.ptpn.com.
Page Updated Last on: Mar 04, 2020