Physicians and their managers and administrators can use this easy to complete worksheet to calculate cost for each CPT code and administrative activity involved in every day practice operations. Each and every day, providers negotiate against themselves by not knowing exactly what their costs are to comply with contract terms and care for...
Can a Contract Be Assumed Even If You Chose Not to Participate?
Remember the phrase “No good deed goes unpunished”? Take heed and avoid this nasty situation by being meticulous with your managed care negotiation communications. When I assist in the negotiation of a contract together with a client, clients at first describe me as “obsessive” about avoiding oral negotiation communications on clarifications, changes, and acting...
Avoid the Perils and Pitfalls of Managed Care Contracting
A “Mulligan” is a not a managed care term. Take care not to fall into the following traps: Several issues come into consideration when contracting with Managed Care plans and discount arrangements such as PPOs and other provider networks. Take care not to fall into the following traps: All Products Contracts –...