What is an MPPA?
An MPPA (Medical Purchaser Provider
Agreement) is a ‘no gap’ contract negotiated between a health fund and a
diagnostic service provider for in hospital pathology and radiology
services. Once an MPPA is in place, benefits payable by the health
fund to the diagnostic services provider are at or above the Medicare
Benefits Schedule for pathology and/or radiology services as specified
in the MPPA.
An MPPA is designed to eliminate medical gaps for
health fund members and provide funding certainty for providers..
What are the benefits
of an MPPA?
and participating health fund payments in one simple transaction
The potential to
reduce administration costs by eliminating the need for direct patient
eligible patients with a ‘no gap’ experience, thus reducing related
to reduce your aged and bad debts with payments made directly via EFT
Who can apply for an MPPA?
providers - pathology and radiology services
private and public
Agents who represent providers of pathology and radiology services.
MDR Medical Systems
understands the complexities and time
required in negotiating with individual funds. We have extensive
experience and are able to assist with initial and renewal contract