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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! Subscribe to this newsletter.
December 1, 2006 - Issue 12 - View Full Issue
   Curb eligibility errors to reduce denials
   CORE rules could ease eligibility verification headache
   E tool: Variables to consider when assessing your denials database
November 1, 2006 - Issue 11 - View Full Issue
   Use hard facts to bolster your negotiating position
   The pressure cooker for pricing transparency intensifies
   E tool: Sample baseline costs worksheet
October 1, 2006 - Issue 10 - View Full Issue
   Claims cleanup: Use technology to verify all insurance
   Critical steps to implement a managed care exit strategy
   Payers may release incomplete data, convince savvy consumers to go elsewhere
   E tool: Sample list of pricing questions to consider
September 1, 2006 - Issue 9 - View Full Issue
   Insurers expected to abide by more stringent requirements
   When it is time to give managed care the boot
   E tools: Carefully craft communication pieces to retain patients
August 1, 2006 - Issue 8 - View Full Issue
   Incorporate due diligence into your contract
   Tips to combat the growing issue of denied stays
   E tools: Sample contract language to help ensure due diligence
July 1, 2006 - Issue 7 - View Full Issue
   Tips to achieve success during contract negotiations
   Consumer-directed plans present new patient issues
   E tools: Watch out for vague contract language
June 1, 2006 - Issue 6 - View Full Issue
   Tips to achieve success during contract negotiations
   Consumer-driven plans present new patient issues
   Now is the time to review your fee structure
   E tools: Sample contract language to counter an all-products clause
May 1, 2006 - Issue 5 - View Full Issue
   Maximize high-cost specialty income
   Don't neglect emergency preparedness in your contracts
   E tool: Contract language to protect yourself in times of crisis
April 1, 2006 - Issue 4 - View Full Issue
   The financial effect of coding errors
   Reel in healthier contracts, better rates through value plans
   E tools: 90-day advance notice
March 1, 2006 - Issue 3 - View Full Issue
   Protecting yourself from silent PPOs
   Consumer-driven plans and their effect on providers
   E tools: Model letters: Appeals to silent PPOs
   E tools: Seven tips to tackle high-deductible plans
February 1, 2006 - Issue 2 - View Full Issue
   Transparency can play a vital role in the success of pay for performance
   Payer report cards put health plans in the spotlight
   E tools: Sample payer report card
January 1, 2006 - Issue 1 - View Full Issue
   Tracking denial data can help improve your financial performance
   Payment challenges for out-of-network providers
   E tools: Sample problem-fixing tool