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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, 2010 - Issue 12 - View Full Issue
   Manage your managed care portfolio for best results
   Enhanced oversight from CMS can affect practice enrollment
   Tread carefully to avoid antitrust issues with IPAs
   Payers concerned with 80% MLR, working with exchanges
   AMA's PATH tool can help prepare for billing audits
November 1, 2010 - Issue 11 - View Full Issue
   How to appeal denied claims: Have an organized strategy
   PPACA bringing more headaches for providers
   GAO says CMS needs more oversight of managed care
October 1, 2010 - Issue 10 - View Full Issue
   Avoid denials with clean claims, accurate information
   CIGNA outlines how to submit a clean claim
   Carve-outs can benefit both provider and insurer
   Remedies available when negotiations break down
September 1, 2010 - Issue 9 - View Full Issue
   Using proactive strategy best when renegotiating contracts
   Six steps to negotiating better managed care contracts
   Speed up claims processing with accurate data, clean submission
August 1, 2010 - Issue 8 - View Full Issue
   Standardized billing practices could save billions of dollars
   Physician rating systems under fire, could affect revenue
   Credit card act may have effect on revenue
July 1, 2010 - Issue 7 - View Full Issue
   PPACA will bring major changes for contracts and revenue
   Use leverage to get best P4P language in contracts
   Cost of care tool proves popular
June 1, 2010 - Issue 6 - View Full Issue
   Use these 11 tips to determine when, how to deal with a collection agency
   A poorly trained billing staff can cost your practice money
   Ask the advisor: Experts answer questions about the impact of reform legislation on contracting and reimbursement issues
May 1, 2010 - Issue 5 - View Full Issue
   Be prepared: Include disaster plans in your contract negotiations
   Despite frustration and uncertainty, practices need to participate in PQRI, counsel experts
April 1, 2010 - Issue 4 - View Full Issue
   Experts share tips for terminating contracts
   Not the enemy: Retail clinics offer opportunities for collaboration, marketing and enhanced revenues
   Verify, document and close the loop, columnist counsels
March 1, 2010 - Issue 3 - View Full Issue
   Don't ignore managed care contracts during mergers, acquisitions
   Costly documentation and coding woes beset providers
   Use these tips and insights to deal with shrinking reimbursements
February 1, 2010 - Issue 2 - View Full Issue
   Payment issues to contemplate before building a medical home
   Promote prompt payment from CDHP, HDHP patients
January 1, 2010 - Issue 1 - View Full Issue
   Regulatory scrutiny: IPAs: Are you in the FTC’s crosshairs?
   Think twice before you submit that invoice
   MCCRA 2009 index


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