Silent PPOs, as their name indicates, can be difficult to identify. To avoid falling prey to these sneaky imposters-and correct the situation if you do-follow these steps Begin with audits.... Read More >
In yet another example of how IPAs can get in to trouble, two physician groups separately have settled charges that they violated federal antitrust law by engaging in price-fixing conspiracies... Read More >
When looking at the growing pool of pay-for-performance P P programs, you might wonder how to determine what you re getting into before you sign up. To understand your organization... Read More >
Payers may insist upon the right to audit providers books and records in a number of contexts and for various reasons. Also, keep in mind that payers frequently retain contracted... Read More >
Many healthcare providers are revisiting the various services they provide and looking to make non-Medicare patients a larger component of their patient mix. That, in turn, puts a premium on... Read More >
Give the definitions section of your contracts some muscle to strengthen your case should you ever have to take on a payer in a lawsuit. You might even find that... Read More >
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