Top Managed Care Contracting Clauses: A Tool-Kit for Providers

With Top Managed Care Contracting Clauses: A Tool-kit for Providers, you will receive a comprehensive set of checklists, forms, letters and clauses, which you can customize to fit your specific situation. Take a look at the table of contents:

Chapter 1: Copayments, coinsurance, and deductibles
Chapter 2: Billing and claims
Chapter 3: Ensuring prompt payment
Chapter 4: Denials and claim adjustments
Chapter 5: Dealing with out-of-network and 'silent PPO' issues
Chapter 6: Limiting the frequency and scope of audits
Chapter 7: Mediation, arbitration, and appeals
Chapter 8: Controlling the products accessing your agreements
Chapter 9: Transparency of pricing and quality information
Chapter 10: Pricing and specific payment issues
Chapter 11: Emergency preparedness
Chapter 12: Miscellaneous clauses

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