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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.
   ICD-10 coming sooner than you think, will radically change reimbursement
   Concierge medicine could be the solution to falling ­revenue, uncertainty
   Practice offers lessons learned from attesting to Stage 1 meaningful use
   Quality, savings possible with coordination of dual eligibles
December 1, 2011 - Issue 12 - View Full Issue
   Health insurance ­exchanges will bring change to ­physician reimbursement
   Don't get caught in a rental network by accident
   MGMA, AAFP both call for major changes to Medicare Part B fee schedule for 2012
   'Accounting of disclosures' rule no good, should be ­withdrawn, MGMA says
   Medical groups suffer continued financial losses in most regions, average increase in compensation at 2.4%
November 1, 2011 - Issue 11 - View Full Issue
   Patient motivation a must for providing accountable care
   Stage 2 of meaningful use has 'nearly impossible timing'
   Avoid common pitfalls of implementing EMRs
   Physician takes solo practice through Stage 1 MU
   Practice manager income holds steady, many groups ­looking to patient-centered homes
October 1, 2011 - Issue 10 - View Full Issue
   Join an ACO? Crunch the numbers carefully before deciding
   Medicare payment set to drop 29.5% in 2012 if nothing done, some look to alternatives
   Physicians attesting to Stage 1 meaningful use
   AMA report card shows increasingly inaccurate claims payments
   Internists earning more, but radiologists see a downturn
September 1, 2011 - Issue 9 - View Full Issue
   Surgeon opts out of ­managed care, seessteady revenue
   'Economy of healthcare is broken,' benefit manager says
   More physicians receiving on-call pay daily or annually
   Groups say ACOs too complex, offers little benefit
August 1, 2011 - Issue 8 - View Full Issue
   Five quality standards needed to share ACO savings
   Do EHRs improve quality? Data not clear yet
   Medicaid enrollment rising
   Payers may not be ready for ICD-10, 5010 even if you are
   Attracting new patients, collecting money keys to viability
July 1, 2011 - Issue 7 - View Full Issue
   Revenue cycle mapping can find problems, improve efficiency
   Understand the market; time your renewals for best terms
   CMS introduces new Center for Medicare and ­Medicaid Innovation
   CIGNA reports higher quality, lower costs with ACO trials
June 1, 2011 - Issue 6 - View Full Issue
   Even small providers benefit from EHRs, survey shows
   CMS to measure 5010, ICD-10 readiness
   CMS changes enrollment policies
   Shifting health arena means more diligence required for contract negotiations
   Watch for hidden requirements of meaningful use
   Forget that "-GZ" modifier unless you want an automatic denial
May 1, 2011 - Issue 5 - View Full Issue
   Signature requirements still confounding physicians despite CMS help
   Care management program aims to reduce Medicare costs
   Hospital's medical staff loses fight with Anthem
   Patient-centered homes will change managed care for doctors
April 1, 2011 - Issue 4 - View Full Issue
March 1, 2011 - Issue 3 - View Full Issue
   TRICARE contract can make you a federal contractor, with major obligations
   Prepare now for ICD-10, much work to be done before deadline
February 1, 2011 - Issue 2 - View Full Issue
   Capitation catching on with some providers, but decision can be difficult
   One group’s experience with capitation: Better revenue and security
   California insurers to pay millions for failing to reimburse properly
   CMS information suggests multiple ACO types will be allowed
January 1, 2011 - Issue 1 - View Full Issue
   Sometimes you just have to end it: How to terminate a contract that?s not working
   Protect against insolvency when negotiating contracts; look for warning signs
   Mitigate revenue impact brought by denied claims
   AMA urges providers to take action on inaccurate  payments, says one in five are wrong


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