Managed care has influenced the health care industry especially in regards to reimbursement and collections for medical services. Depending on a practices’ payer mix, managed care can have a substantial impact on reimbursement for physician services. When contractual relations with managed care companies are initiated and managed by medical practice administrators, the result can be beneficial to a physician practice’s financial bottom line. The other influential factors include tracking and simultaneous auditing of managed care payments to ensure accuracy and timeliness, with monitoring of legal options in case of disputes concerning payment and the negotiation of length of contract, renewals, and termination options.
This presentation by healthcare administrator Susie T. Harris will discuss the necessity to develop effective working relationships with managed care companies and suggest strategies for establishing fee schedules and negotiating reimbursement contracts.
Five negotiable issues and two key issues in a managed care contract will be presented during the session. Processes to determine a negotiable fee will also be discussed along with the steps to follow in the negotiation.
The speaker will answer your questions at the end of session to help you with the doubts and queries you may have.
Who should attend? Coders, billers, billing supervisors, and office managers.
- Barbara J. Cobuzzi
Dr. Harris PhD, MBA, RHIA, CCS is an associate professor in the Department of Health Services and Information Management at East Carolina University and the Director of the Master of Science degree in Health Informatics and Information Management program. She received her undergraduate degree in Health Information Management, Master's in Business Administration with a concentration in health care administration degree, and doctor of philosophy degree in Rehabilitation...
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