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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, 2005 - Issue 12 - View Full Issue
   Direct contracting: Seven advantages of dealing directly with employers
   Limit obligation to share peer review records with a plan
   Take a proactive approach when dealing with disputes about bundled charges
November 1, 2005 - Issue 11 - View Full Issue
   Warn plan members about their financial responsibilities for treatment
   Strategies to avoid refund requests from the start
October 6, 2005 - Issue 10 - View Full Issue
   Protect yourself from unfair carve-outs with an antisteering clause
   Don't let language in consent agreement with licensing board hurt your ability
   Rate filings key to understanding plans' rates
   Rate filings key to understanding plans' rates
September 1, 2005 - Issue 9 - View Full Issue
   Take five steps to terminate managed care contracts
   Don't agree to overly broad translation services for members
August 1, 2005 - Issue 8 - View Full Issue
   How to get ERISA plans to pay you more quickly
   Beware of most favored nations clauses
   Beware of billing snafus with CRNAs, ER physicians
July 1, 2005 - Issue 7 - View Full Issue
   Get paid for denials if plan fails to follow medical review procedures
   Supply all tax ID numbers to a plan to avoid payment problems
   Tips for getting paid correctly based on your contract
   Etools: July 2005
   Etools: June 2005
June 1, 2005 - Issue 6 - View Full Issue
   Start now, cash in later with pay for performance
   Get the benefit of physicians’ expertise to prevent insurance denials
   Clarify contract, train staff to avoid underpayment
   Etools: May 2005
May 1, 2005 - Issue 5 - View Full Issue
   Manage PPO contracts to avoid scam insurers
   Online postings about plan contracts, compliance could be used against you
   Beware of restrictions that keep you from filing suit
April 1, 2005 - Issue 4 - View Full Issue
   Continuous discount agreements: Consider these three areas before signing on
   Assess risks before letting your contract negotiator work for another provider
   Etools: April 2005
   Etools: March 2005
March 1, 2005 - Issue 3 - View Full Issue
   To mediate or not to mediate?
   Three ways to get paid for new providers while they're being credentialed
   Managing contracts: Best practices to secure appropriate reimbursement
February 1, 2005 - Issue 2 - View Full Issue
   How to respond when plans ask for your chargemaster
   Leveraging denial management in contract negotiations helps with denied claims
   Notify your plan that incorrect payments violate the contract
   Etools: February 2005
   Etools: January 2005
January 1, 2005 - Issue 1 - View Full Issue
   Beware of waiving copays
   Prove member voluntarily authorized billing auto insurer