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2004
Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate the best deal with HMOs, PPOs, and other payors - and get bigger and faster reimbursement!
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December 1, 2004 - Issue 12 -
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Get ahead of the curve
Deal directly with payers to bypass repricers for out-of-network members
How to spot phony malpractice insurance before you buy it
E tools: Model Contract Language: Negotiate additional reimbursement rates
E tools: Tell Member that Plan's Determination of U&C Rates Is Unacceptable
E tools: Clarify when "inpatient" and "outpatient" labels apply
November 1, 2004 - Issue 11 -
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October 21, 2004 - Issue 10 -
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E tools: Excuse Nonperformance Caused by 'Force Majeure' Event
E tools: Force Plan to Negotiate New Technology Reimbursement Rates
September 1, 2004 - Issue 9 -
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August 21, 2004 - Issue 8 -
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E tools: Model Letter: Tell Plan Its Determination of U&C Rates Is Unacceptable
E tools: Model Contract Language: Negotiate Preauthorization Requirements
E tools: Limiting Scope of Indemnification Clause
July 21, 2004 - Issue 7 -
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June 21, 2004 - Issue 6 -
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E tools: Get Plan Not to Penalize You for Unintentional Administrative Mistakes
E tools: Model Letter: Request Payment Guarantee for Preauthorized Services
May 21, 2004 - Issue 5 -
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E tools: Model Letter: What to Tell Plan if You Won't Agree to One-Shot Discount
E tools: Model Language: Notify Plan You Intend to Bill Member for Full Charges
E tools: Model Contract Language: No Discount If Plan Pays Late
April 21, 2004 - Issue 4 -
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March 21, 2004 - Issue 3 -
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E tools: Clause Specify How You'll Provide and Get Paid for Online Consults
E tools: Model Letter: Tell Plan Its Downgarde Is Unacceptable
E tools: Make Sure Single Contract Sets Out Differences Among Plan Products
February 21, 2004 - Issue 2 -
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January 21, 2004 - Issue 1 -
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