In this written paper you will complete the following: Analyze how physicians an
ID: 2506414 • Letter: I
Question
In this written paper you will complete the following:
Analyze how physicians and hospitals have negotiated service contracts with third party payers.
Discuss how fee for service versus managed care models of reimbursement have contributed risk avoidance in their contract negotiations.
Recommend future strategies for physicians and hospitals to effectively negotiate service delivery contracts. Base the recommendation on your research and readings.
The paper must be formatted as follows:
A minimum of 6
Explanation / Answer
our challenges Determining a fair reimbursement proposal Collecting copies of your current managed care contracts Understanding how the language in your agreements affects your practice Managing contractual provisions (e.g., expiration, termination) Gathering data on visits using Current Procedural Terminology (CPT) codes by payer Gathering data on Physician Quality Reporting Initiative (PQRI) items Differentiating your practice from the competition Our managed care contract consulting services Analyze your fee schedule against the most current Medicare reimbursement rates and market data available for your specific area Review your Explanation of Benefits (EOBs) to verify what you have been paid Assess reimbursement rates and develop a plan for an increase Review and edit the contract terms Negotiate with third-party payers for increased reimbursement carve outs Educate management and staff Our approach LarsonAllen
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.