When considering contracting with an insurance company, providers often have to negotiate terms and reimbursement levels. Most insurance companies base their policies on those established by the Centers for Medicare and Medicaid Services (CMS) for reimbursement through Medicare and Medicaid coverages.

• Consider the role of the insurance specialist or billing agent in an office, who has been asked to attend the contracting meetings with the physician and the insurance company.
• Using your own words, What three questions would you come prepared with to ask the insurance company during the negotiations?