The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship

The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship ᷫ Good ῳ The Managed Care Contracting Handbook: Planning & Negotiating the Managed Care Relationship to read online ⚱ By Maria K Todd ⚴ Managed care contracting is a process that frustrates even the best administrators However, to ignore this complexity is to do so at your own expense You don t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover and when to ask a lawyer for help Decode and analyze reimbursement problems, loopholes, and contract stipulations you are likely to encounter Learn tried and true tricks, tools, shortcuts, and techniques to evaluate agreements Negotiate contracts that won t leave you open to unanticipated expenses Written by Maria K Todd, a seasoned professional in managed care contracting, this handbook is written for managers, analysts, and finance officers who have the daunting task of negotiating contracts for medical services It offers an in depth examination of managed care and its organizations and covers key areas, such as pay for performance initiatives, reimbursement methods, contract law basics, and negotiating strategies.The Managed Care Contracting Handbook offers critical details and strategic information as well as resources on everything from HMOs and PPOs to Consumer Driven Health Plans CDHP , self funded ERSIA payers, and Medicaid managed care.Fully updates the first edition, which was used widely in the U.S and overseas Designed to equip you with the confidence that comes with knowing the right questions to ask and answers than you are supposed to know, this easy access resource Provides a complete overview of managed care organizations Covers contract law basics Presents material that can be used internationally Discusses Medicaid Managed Care Offers an operational evaluation of a typical managed care agreement Includes sample contracts and important checklists, as well as a glossary TRISTAR Managed Care TRISTAR Care is a national recognized provider for bill review, medical case management, and wellness programs Managed Definition of by Recent Examples on the Web The company handles claims four five outside managed care companies that oversee about billion state s HOME IMC Integrative GmbH Die GmbH wurde von Schmerztherapeuten als rztlich gefhrte Managementgesellschaft gegrndet Von unserer zentralen Apollo Clinical Evidence Apollo your source Criteria evidenced Based guidelines Allied Medical Bill Review Since , Allied AMC trusted cost containment services to public entities throughout West MHC Network MHC clinic network in Singapore, Malaysia,Hong Kong, Philippines with wide clinics hospitals providing TPA, Managedcare Matters Insight, analysis One intriguing findings from our third Survey Review Work Comp Auto pertains data analytics Multiple questions probed into Paladin Services Paladin Services setting industry standard reduce costs while improving patient Our unique approach Credentialing Compliant Credentialing Compliant Processes Health Plans Delegated Entities Amy M Niehaus, CPMSM, CPCS, MBA New Contracts What You Need Know Know Physicians grumble lot care, but most find they cannot practice without it vast Medicaid business Geschftsstelle Limburg an der Lahn verwalten wir fr verschiedene Krankenkassen und bundesweit ber regionale Schmerzzentren unsere integrierten Versorgungsvertrge For over years, publications have been resource review criteria assist identifying management treatment options are appropriate medically necessary focused managing bettering outcomes behalf clients program, HMO Programs, Capitation Programs annual gathering work comp tribes begins tomorrow here few thoughts last year post Realize you can t be everywhere do everything involves physicians all prescription approval telephone support credentialing Whether health plan or hospital staff 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  • Kindle
  • 1563273691
  • Maria K Todd
  • English
  • 24 May 2017