Video Headlines:

HMOs vs PPOs

What Is A Merchant Processor?

The Pros And Cons Of Money Factoring

Leasing Medical Equipment Vs Buying

In-House Human Resources vs Outsourced

Types of Commercial Loans for Buying a Commercial Condo

What Is A Commercial Condo?

Determining Location Options

The Medical Coding Company That Could

What is an NPI, difference NPI 1 VS 2?

Purchasing a Commercial Condo

What is Fraud Investigation?

The Mystery Of Medical Coding

What Is Practice Succession Planning?

Overhead Business Expenses

Patient Education

Communication Vs Branding

How to Determine a Timeline to Open Your Medical..

Information Systems and IT for Doctors

In-House Doctor Credentialing VS. Outsourcing

The Medical Coding Company That Could

Practice Publication Marketing

Practice Social Media

Capital Funding Lenders

How To Choose A Merchant Processor

Leasing Medical Equipment

How to Create a Draft of the Employee Handbook

How to Find a Medical Accounting Firm

How To Choose The Right Corporate Structure For Your Medical Practice

Practice Direct Mail Marketing

The Mystery of Medical Staffing

Doctor Credentialing With Hospitals And Insurance Companies

Must-Have Medical Doctors Insurance

How To Choose A Medical Transcription Company

Setup Your Practice

Advertising

What is Money Factoring?

Setting Up a New Practice

Your Medical Practice Opening Check-List

Logo Development

How to Choose a Medical Practice Lender for …

What is Medicare, Medicaid, etc?

Merchant services – credit cards

Mission, Vision, and Values

Asset Protection

Estate Planning

How To Choose A Medical Accounting Firm

Life Insurance

Physician Profile Development

Determine a Practice Name

What Is A Marketing Plan?

How to Determine a Timeline to Open Your Medical..

Choose the Right Corporate Structure

Retirement Planning

In-House Medical Transcription Vs Outsourcing

Commercial Condo vs. a Commercial Building

Insurance Types Needed for a Medical Practice

CLIA Certification

How to Find a Medical Collection Company

How to Choose a Potential Office Location

Finding A Payroll Company

Practice Website Development

Types of Commercial Loans for Buying a Medical Real Estsate

How To Lease Office Space For Your Medical Practice

Medical Billing Company to the Rescue!

Unlocking the Mysteries of Medical Billing

How To Estimate Staffing, Payroll, And Benefit Costs

Group Practice vs Hospital

Build Or Buy: In-House Medical Coding Vs. Outsourcing

Hiring A Business Consultant

What Is Practice Legacy Planning?

Determine Employee Benefits

Types of Medical Insurance

Choosing A Payroll Company

How To Structure Practice Banking

How To Win Your Insurance Contract Negotiation

OSHA Compliance

Disability Insurance

How To Find Money Factoring Resources

Purchasing A Commercial Condo

Merchant Services – Payment Gateway

The Pros And Cons Of Leasing Vs. Buying

What to Ask for/Expect in Your Commercial Lease

Group Practice vs Private Practice

What is a Commercial Lease?

Market Assessment/Demographic Research

How To Choose A Medical Management Firm

The Mystery Of Medical Transcription

In House Medical Billing vs. Outsourcing

How To Choose A Medical Billing Company

Employee Benefits

Business/Casualty Insurance

Retirement And Estate Planning For Physicians

Events

How to get a DEA license

Merchant Services – ACH Payments

How to Choose a Medical Legal Firm

What Is Money Factoring?

Document Imaging

How to Find a Medical Management Firm

Generic filters
Exact matches only

HMOs vs PPOs

As the owner of a new or growing medical practice, it’s important to have a strong understanding of your patient’s health insurance options. The vast majority of your patients will be enrolled in either an HMO or a PPO medical insurance plan. Understanding the differences between these two types of insurance will help you and your staff provide a better patient experience, develop relationships with insurance providers, and ensure you get paid for your services swiftly and accurately.

HMO insurance plans tend to be more restrictive than PPOs. Often you will only be able to accept a new patient if you are a part of their HMO network. If you are a specialist, a patient on an HMO plan may not be able to see you without a referral. HMOs tend to have low or no co-pays, low deductibles, and high patient satisfaction ratings.

PPOs are the more flexible, and more popular insurance choice for many patients. With a PPO, a patient is more likely to be covered for your services, even if you’re not in their network. While copays, deductibles, and out-of-network services tend to be higher with PPOs, many patients are willing to pay more for the flexibility of seeing the physician of their choice.

Most of the patients you see in your practice will be covered under HMOs, PPOs, and other types of medical insurance. Make sure you and your staff are familiar with insurance protocol so you know which patients you can accept, and so you can collect and process payments quickly and easily.

To learn more about doctor credentialing, insurance, coding, outsourcing, and everything you need to establish a successful healthcare practice, follow all of Sherlock Doc’s adventures on the DoctorsBusinessNetwork.com or Doctors Business Channel on YouTube!.

Scene Premiere Banner 726x90

More Videos

Patient Experience

The patient experience in your medical practice is the #1 factor that determines whether or not that patient will return, recommend you to friends

Read More »

Disability Insurance

What if you were no longer able to practice medicine? Each year, hundreds of thousands of Americans lose their jobs and declare bankruptcy due to injury

Read More »
Merchant Services
Sybe Credentialing
Doctors Business Network