In contract negotiations payer report cards should be used as discussion points The contents of the payer report card can be useful for contract language revisions and potential reimbursement considerations... Read More >
With all of the changes in health insurance products today eligibility and benefit determination are more important than ever Your staff s ability to make accurate assessments regarding eligibility and... Read More >
If you re going to participate in a high-deductible plan set aside time when your front office billing and collections staff can meet and ask to have a plan representative... Read More >
nbsp Case mix index This metric takes into account how sick patients are when they come in to your physician office and it can have a dramatic effect on your... Read More >
From the American Health Lawyer s Association www healthlawyers org A Texas physician group has filed a petition in the U S Court of Appeals for the Fifth Circuit seeking... Read More >
nbsp The following is contact language you might want to consider putting in to your managed care agreements to combat Silent PPOs EXHIBIT A AMENDEMENTS TO PROVIDER AGREEMENT Suggested Language... Read More >
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