Course description
Managed Care Contracting and Fee Schedule Review
Gain an understanding of how to manage fee scheduling and considerations in managed care contract negotiations. The modern health care reimbursement system is complex, nuanced and constantly changing. Even the smallest deficiency in the structure of managed care agreements, fee schedules and billing processes can lead to millions of dollars in lost or unrealized revenue for even the most skilled health care providers and largest facilities. This topic will provide information on how to manage revenue through careful review and revision of fee schedules and the details and considerations in managed care contract negotiation, in order to facilitate the capture of all possible reimbursements and receivables. This topic will provide critical information for billing professionals, medical records managers, coders, health information directors, collections professionals, business and office managers, health care providers, clinic coordinators, administrators and attorneys.
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Who should attend?
Training content
- Managing Provider Revenue
- Private Payers and Government Payers
- Payment for Value
- Underpayment: Getting Paid for Agreed ContractsThe Details of Fee Schedule Review
- Organizing the Work
- Coding and Coders
- Data Sets and Data ManagementManaged Care Contracting Concerns
- Considerations in Negotiating Contracts
- Legal and Regulatory Concerns
- How to Get to Yes
Costs
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Lorman Education Services - Live and On-Demand Courses
Lorman Education Services is a leading provider of online professional development and corporate training for organizations and individual professionals. For more than 30 years, Lorman has delivered relevant, high-quality, professional-level courses that cover a broad range of business and technical...