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Silent PPO

   Also found in: Wikipedia 0.01 sec.
Silent PPO
A PPO (Physician Provider Organisation) that utilizes the 'assignment' clause of the provider contract and sells or leases rights to the fee discounts to other health plans, which occurs without the provider’s knowledge or consent


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Blue Cross had created a silent PPO by selling its reduced provider rate to the workers' compensation fund, without the hospital's knowledge or consent.
There is one primary difference between a silent PPO situation and a repricing arrangement.
These solutions include revenue cycle technology and consulting, charge integrity and pricing services, claims, remittance and denial management, silent PPO recovery, concurrent and retrospective denial management, accounts receivable services and decision support technology.
 
 
 
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