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Capitation Rates and Data    Health Governance Report   
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Managed Care Contracting and Reimbursement Advisor    Managed Dental Care   
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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.
   Revenue optimization more challenging than ever before
   Physician group uses new strategies to improve revenue
   Reader question: How to use 'bill above' in reimbursement coding
   Production not only influence on compensation levels for physicians in academic settings
   CurrentCare is first statewide HIE to exchange behavioral health data
   HHS finalizes rule guaranteeing 100% funding for new Medicaid beneficiaries
   CMS and California partner to coordinate care for Medicare-Medicaid enrollees
June 1, 2013 - Issue 6 - View Full Issue
   Doctors, congressmen call for end to fee-for-service
   Internists issue plan to improve healthcare system, end 'assault' on patient-physician relationship
   Electronic records could cost you money instead of improving revenue
   HHS announces 2013 agenda to bring down costs, improve quality of care
   DOJ and HHS announce record-breaking recoveries from fight against fraud
May 1, 2013 - Issue 5 - View Full Issue
   Don't throw money away with leases, too many loans
   Pathologists grow revenue through outreach to specialists
   Don't forget disability coverage when reviewing insurance needs
   Michigan doctors launch ACO for Medicare patients
   AMGA reports growth in 2012, multiple accomplishments
   Most physicians not meeting PQRS quality reporting requirements
April 1, 2013 - Issue 4 - View Full Issue
   106 new ACOs mean physicians are pleased with the models so far
   New report says ACOs will bring many challenges for physician practices
   You actually have a good chance of overturning a denial, so don't give up in the initial rounds
   OIG urges more training on Medicare policies for ALJ and QIC staff
   'Frequent fliers' in appeals process called a serious problem by OIG
   Physician pay cut held off once again, but the annual crisis is getting old
March 1, 2013 - Issue 3 - View Full Issue
   Now more than ever, review managed care ­contracts closely
   Lower copays, use of mail order improve BP med adherence
   ACOs, other changes may change practice model, liability risks
   CRNAs get full pay, primary care physicians get increase in 2013
   Fewer consultations means higher primary costs, study suggests
   Kaiser gets top marks for effectiveness of care
February 1, 2013 - Issue 2 - View Full Issue
   Group purchasing can boost revenue, reduce costs
   Know your contract, plan rules to minimize denials
   CMS issues final OPPS and ASC rule with major change
   CMS issues Medicare Physician Fee Schedule final rule
   Practice uses software to achieve Stage 1 meaningful use
January 1, 2013 - Issue 1 - View Full Issue