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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, 2007 - Issue 12 - View Full Issue
   Scrutinize new products as Medicare Advantage continues to expand
   Battle over physician prescribing moves to courtroom, while other states seek to legislate protection of prescribing data
   Examine assignment, termination clauses before signing EHR license agreement that could jeopardize your data
November 1, 2007 - Issue 11 - View Full Issue
   UnitedHealth settlement may increase provider contracting leverage
   Use payer report cards to improve managed care contracts
   Evaluate EHR license agreements before you buy
   UHC Regulatory Settlement Agreement
October 1, 2007 - Issue 10 - View Full Issue
   Track and manage disputed claims to prevent recurrence
   Relationships with employers improve contracting leverage
September 1, 2007 - Issue 9 - View Full Issue
   Employers drive movement to performance-based contracting
   Use this pay-for-performance readiness template
August 1, 2007 - Issue 8 - View Full Issue
   Use contractual tools to challenge payer collaboration on products
   Consider legal remedies for potential antitrust concerns
   Use template to improve negotiations, monitor contracts
   E tool: Sample language addresses selective contracting
   E tool: Model letter
July 1, 2007 - Issue 7 - View Full Issue
   PROMETHEUS payment model aims to top P4P
   Simple audits help to manage payer contracts
   E tools: Top 10 CPT codes in family practice example
   E tools: Measuring variance between contracted and allowed amounts in CPT codes
June 1, 2007 - Issue 6 - View Full Issue
   Colorado legislature passes landmark managed care bill
   Outpatient imaging on UnitedHealthcare's radar screen
   Hospital outsourcing now part of managed care contracting
May 1, 2007 - Issue 5 - View Full Issue
   Transparency and health information: Who owns your practice data?
   Use these eight strategies to create reports about your financial performance
   E tool: Sample contract language addresses data disclosure
   E tool: Lovely Medical Group
   E tool: Practice Revenue 2005
   E tool: Metro Area Integrated Clinic, PC
April 1, 2007 - Issue 4 - View Full Issue
   Medical Home concept gains ground
   Contracting challenges affect provider-sponsored plans
   Exert control over a payer's policies using these tactics
March 1, 2007 - Issue 3 - View Full Issue
   Use utilization data to win an increase in payer rates
   Tips to ensure that payers' audits are fair and equitable
   Alter current procedures to reduce silent PPO activity
   E tool: Sample contract language to address audit requests
   E tool: Model letter
February 1, 2007 - Issue 2 - View Full Issue
   Put quality rankings in perspective
   Prepare now for patients with limited benefit plans
   Tackle incorrect payments with a notice to the payer
   E tool: Model language: Contract violations
January 1, 2007 - Issue 1 - View Full Issue
   Don't underestimate the value of a well-defined contract
   Improve your record keeping to reduce underpayments


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