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Protecting yourself from silent PPOs

One of the worst problems facing providers is silent yet possibly financially dangerous. As the name suggests, silent PPOs often go undetected and have the potential to take a significant bite out of your earnings without so much as a peep from the provider. Silent PPO payer arrangements offer patients discounted fees without requiring them to access provider services. Under such arrangements, a third party obtains a database of preferred provider rates from a managed care organization (MCO) or discount insurance broker. The MCO sells or rents its PPO provider network to the third party or insurance broker.

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