Managing payor contracts is one of the primary challenges that every healthcare provider faces. From changing reimbursement to network irregularities, clauses and understanding fine print, contracting can be a painful part of practicing medicine. Declining income and increasing workload is at the forefront of most medical practices’ minds. Understanding and auditing your current payer contracts is imperative to a successful profitable business.
When reviewing contracts, do you know what to look for? What verbiage to be wary of? Do you know your contract renewal date? All of these are important and significant items that need to be addressed.
Renegotiating contracts, although sometimes time consuming, can be worth the effort and can bring new markets to your practice.
Join this webinar and let our expert walk you through each part of a payor contract, how to understand and utilize this information to be sure your being paid correctly, auditing for hidden clauses, and renew/analyze data for potential renegotiation.
Webinar Objectives
Low reimbursement
Incorrect denials
Wrong timely filing limits
Network level/tier payment confusion
Evergreen contracts
Incentives
Capitated payments
Fee for service payments
Retro-denial/ retraction of payments
Webinar Highlights
Understanding payor contracts
How to analyze real data – visit based
Properly identify payor matrix
Auditing Explanation of Benefits
How to renegotiate successfully