Key Participation Advantages
Physicians who participate in DHR Physicians Health Plus (PHO) benefit from a myriad of practice-enhancing and money-saving advantages. Our PHO is designed to help its members to successfully navigate the managed care arena as well as address day-to-day practice challenges.
If you have any questions or need additional information, please don’t hesitate to contact one of us:
Phone: (956) 362-7180
Fax (956) 362-7184
Esmeralda Ochoa, CMOM, PHO
Victor Aguilar, CMOM, PHO
Mary Francis, CMCO
Frequently Asked Questions
How are practices reimbursed by DHR Physicians Health Plus-contracted payors?
DHR Physicians Health Plus is an independent Physician Hospital Organization (PHO) that executes agreements with various payors. Member physicians are invited to participate in each of these agreements according to federal messenger guidelines. Member physicians indicate their acceptance or rejection of each of the payor agreements and are reimbursed according to the various terms, conditions and fee schedules that are part of these DHR Physicians Health Plus-contracted payor agreements. All payments for services are billed directly to the payor by the practice and payments are made directly to the practice by the payor.
What is the cost to join and become a member?
Annual membership assessments and other fees cover the costs of processing applications, managed care contracting and other operational costs of the association. Current fees are an initial credentialing fee of $150 (re-credentialing every three years thereafter) and annual membership of $700 per physician. Since many of the Medicaid Managed Care Plans require that non-physician providers be included on the same contract as their supervising physician, Allied Health Professionals (PA, NP, Certified Nurse Specialist and Nurse Anesthetist, Physical Therapist, Optometrist) may also join the PHO! For $450 for three (3) years, your Allied Health Professionals enjoy the same benefits. Checks should be made payable to DHR Physicians Health Plus. Once the $850 fee and your Credentialing packet are returned to our office, we can begin the Credentialing process which usually takes between 60 to 90 days.
What is required to participate?
It’s simple! You complete and submit the documents contained in the Membership Packet and pay the membership fee with the credentialing fee. We will be happy to pick them up at your office when they are ready. DHR Physicians Health Plus will send you the Credentialing Packet for completion. At this time, our membership is limited to physicians who have medical staff privileges at Doctors Hospital at Renaissance and the Allied Health professionals that they supervise.
Does membership in DHR-PHO affect our office procedures?
Your office procedures should not change. Our PHO provides each member with information regarding each of the contracted payors that you have elected to participate in through our PHO.
May I still remain a member of other organizations?
Participation in DHR Physicians Health Plus does not preclude physicians from participating in other organizations. In fact, at this time we discourage you from terminating your membership in any other PHO to which you belong. Eventually, however, you will need to make a decision as to which contract you remain under with each managed care plan.
Doctors Hospital at Renaissance proudly meets the federal definition of a “physician-owned hospital” (42 CFR § 489.3). As required by law, a list of the hospital’s physician owners and investors is available at www.dhr-rgv.com. DHR, Ltd. and its affiliated entities comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.