Article: Black space versus white space the new revenue cycle battleground: many providers assume their out-of-network claims (their "black space") are being paid at billed charges--but they often aren't. By tracking their black space, providers can increase their revenue by 8 percent to 10 percent.(FEATURE STORY)

As the healthcare insurance market migrated from fee-for-service to managed care in the 1980s and 1990s, a troubling development related to preferred provider organizations emerged--the "silent PPO." As defined by Stephen Messinger and Terri Welter ("Tactics for Thwarting Silent PPO Activity," hfm, July 2003), silent PPOs are payer arrangements that offer patients discounted provider fees without providing incentives for patients to access the providers' services. Under a silent PPO arrangement, a third party (which is usually not offering a PPO plan or policy) obtains a database of preferred provider rates from a managed care organization or a discount insurance broker. ...

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