{"id":268,"date":"2021-06-07T00:00:00","date_gmt":"2021-06-07T00:00:00","guid":{"rendered":"https:\/\/norrismclaughlin.com\/hclb\/2021\/06\/07\/fighting-hmo-insurance-company-terminations\/"},"modified":"2021-06-07T00:00:00","modified_gmt":"2021-06-07T00:00:00","slug":"fighting-hmo-insurance-company-terminations","status":"publish","type":"post","link":"https:\/\/norrismclaughlin.com\/hclb\/physicians-and-providers-audits-and-reimbursement\/fighting-hmo-insurance-company-terminations\/","title":{"rendered":"Fighting HMO and Insurance Company Terminations"},"content":{"rendered":"

Nothing is more important to the viability of a medical practice than the relationships it enjoys with the patient population that relies on its excellent provision of health care. It is of paramount importance for optimal care that patients trust their physicians and are ensured long-term continuity of care. Of course, physician practices rely heavily on HMO and insurance companies to maintain physicians on practitioner panels and adequately reimburse services rendered. Therefore, when an HMO or insurance company terminates a physician from a panel, it can be devastating for patients and practices alike. Unfortunately, a determination by an HMO or other insurance company to terminate a physician often has nothing to do with the quality of care provided or what is in the patients\u2019 best interests. Rather, these determinations are driven by large corporations looking out for their bottom line.<\/p>\n

Why Do HMOs Terminate Physicians?<\/strong><\/h2>\n

An HMO or other insurance company might terminate a physician for many reasons, including many that have nothing to do with patient care. These include:<\/p>\n