Download or read book Top Managed Care Contracting Clauses written by Peter Robert Fisk and published by HC Pro, Inc.. This book was released on 2007 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a provider, your survival hinges on your ability to maximize reimbursements from managed care contracts and control access to agreed-upon discounts. But money lost at the time of service or through the collection process is often determined well before the patient ever comes through the door. In many cases, that money was lost back when the contract was negotiated. Top Managed Care Contracting Clauses: A Toolkit for Providers contains practical strategies and tools for any organization facing the prospect of negotiating a new managed care contract.
Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Download or read book Managed Care written by United States. General Accounting Office and published by . This book was released on 1997 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Download or read book Negotiating Managed Care Contracts written by Medical Management Institute and published by McGraw-Hill Companies. This book was released on 1994 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting written by Reed Tinsley and published by American Medical Association Press. This book was released on 1999 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides thorough guidance on how to successfully negotiate both discounted fee-for-service and capitated managed care contracts and offers strategies designed to improve managed care contracting relationships.
Download or read book A Guide for Providers of Mental Health and Addictive Disorder Services in Managed Care Contracting written by Jacqueline C. Leifer and published by . This book was released on 1998 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting written by Wendy Knight and published by . This book was released on 1997 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides physician executives and medical group managers with a 'next generation' reference on the managed care contracting process. This handbook will educate health care providers about managed care contracting: how the contracting process works, what a standard practice contract looks like and why certain provisions are included, what questions to ask and how to evaluate a capitation rate. Provides pertinent information from professionals in the field.
Download or read book Contract Issues and Quality Standards for Managed Care written by United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1996 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contracting Handbook written by Cynthia F. Reaves and published by . This book was released on 2001 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Contracting with Managed Care Organizations written by Joseph A. Welfeld, FACHE and published by Jossey-Bass. This book was released on 1996-05-29 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: From preparing for the shift to a managed care environment to negotiating the terms of managed care agreements, this executive briefing offers guidance for evaluating and negotiating with managed care organizations (MCOs) to create important strategic relationships--and details the steps necessary to execute a strategic approach to managed care contracting. The author describes the key performance indicators for evaluating an MCO and offers valuable insight into an MCO's contracting requirements and provider network strategy. Also outlined are the essential operational and functional components in managed care agreements and ways for the health care provider to control or limit risk. Additionally, Contracting with Managed Care Organizations provides a unique clause-by-clause comparison between an undesirable and a desirable hospital agreement with an MCO.
Download or read book An Evaluation of Contracts Between Managed Care Organizations and Community Mental Health and Substance Abuse Treatment and Prevention Agencies and Between State Medicaid Agencies and Managed Care Organizations written by Sara Rosenbaum and published by DIANE Publishing. This book was released on 1998-12 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: A descriptive examination of: (1) the structure & content of provider network agreements between managed care organizations (MCOs) & community mental health & substance abuse (MH/SA) treatment & prevention agencies, proving an assessment of provider contracts to identify the meaning of these instruments for MH/SA service providers, group purchasers, MCOs, individual consumers, & public policy makers; & 2) service agreements between State Medicaid agencies & MCOs for mental health & substance abuse treatment services, addressing enrollment, benefits & services, duties, & quality assurance.
Download or read book Resource Guide and Work Book for MCH CSHCN Providers written by and published by . This book was released on 1997 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Technical Assistance Series written by and published by . This book was released on 1997 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managed Care Contract Reference Guide written by Mgma and published by Mgma. This book was released on 1998-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Contracts Manual written by Christina W. Fleps and published by Aspen Publishers. This book was released on 2018-05-18 with total page 2540 pages. Available in PDF, EPUB and Kindle. Book excerpt: No hospital or health care facility can afford the disastrous results of a contract gone wrong. Hospital Contracts Manual provides practical, authoritative guidance so you can eliminate the possibility of unexpected and undesirable contractual results. Virtually every contractual issue that health care facilities face is covered in detail, including: Shared services Physician compensation Management contracts Managed care contracts Fraud and abuse compliance Antitrust And so much more! With Hospital Contracts Manual, you'll learn what contract will best meet your hospital's goals, what should be included in a particular contract, the implications of specific clauses and phrases, and how to ensure that your facility's interests are fully protected. Specifically, Hospital Contracts Manual Leads you step-by-step to contracts that meet your hospital's objectives and minimize your risk Explains and weighs pros and cons of the most common agreements in each contract area Offers a comprehensive library of proven sample agreements, checklists, forms, clauses, and provisions Is written in user-friendly language, without confusing "legalese" And much more! Hospital Contracts Manual has been updated to include: Discussion of Medicare Part D and changes made to it by the Patient Protection and Affordable Care Act Discussion of the Medicare Shared Savings Program and Accountable Care Organizations (ACOs) Discussion of ACOs and the self-referral prohibition Discussion of ACOs and the antikickback statute Discussion of ACOs and the gain-sharing prohibition New section on Medicare regulation of the formation of integrated delivery systems, including PSOs and ACOs New sections on the special antitrust enforcement approach for ACOs New sections on tax-exempt organizations participating in ACOs Discussion of advisory opinions involving ACOs Discussion of the HITECH Act as it relates to disclosure of HER and the May 2011 proposed rule
Download or read book Managed Care and Capitation Contracting for Home Health Agencies written by Ann W. Ino and published by . This book was released on 1996 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive manual will guide home health executives through the maze of capitation/at-risk contracting, the development of operational systems, etc. Contracting strategies, writing proposals, financial issues, and quality management are covered. Sample contracts, agreements, proposals, and spreadsheets will further enhance the manual's usefulness.
