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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. September 1, 2008 - Issue 9 - View Full Issue
   Prepare for contracting challenges during mergers, consolidations
   Think twice before opting out of Medicare
August 1, 2008 - Issue 8 - View Full Issue
   Put these provisions on your managed care contracting hot list
   Watch your contracts in the wake of 'final' Stark rules
   E-tool: Payer/MCO contract provision samples
   E-tool: Sample letter to payer on intention to renegotiate
July 1, 2008 - Issue 7 - View Full Issue
   Push the envelope when contracting with highly scrutinized payers
   Audit your patient financial services department to maximize your managed care reimbursement
June 1, 2008 - Issue 6 - View Full Issue
   Organize your contracts to eliminate silent PPOs
   Case study: Go electronic on your charge capture process
May 1, 2008 - Issue 5 - View Full Issue
   Prepare your practice for a visit from the RACs
   Use E/M coding audits to train your physicians
   E-tool: Determining level of service for new patients/consultations in the office/outpatient setting
April 1, 2008 - Issue 4 - View Full Issue
   Conduct E/M coding audit to ensure compliance, enhance practice revenue
   Target front-desk staff to improve collection of patient deductibles, especially for high-deductible health plans
   E-tool: Basic checklist for E/M documentation
   E-tool: Sample contract language addresses collection efforts
March 1, 2008 - Issue 3 - View Full Issue
   Focus on the key reasons payers reject your claims
   Prepare for contract clauses defining never events
February 1, 2008 - Issue 2 - View Full Issue
   Fix and resubmit rejections to minimize payer denials
   Organize your contracts to improve negotiating clout
   E-tool: Sample ContractMaster
   E-tool: Sample payer summary
January 1, 2008 - Issue 1 - View Full Issue
   Manage capacity to improve your contracting leverage
   Provider needs strategy to collect out-of-network payments
   Credit ratings raise visibility of managed care contracts
   E tool: Getwell Medical Group reimbursement analysis