Managed Care Newsletters

Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate the best deal with HMOs, PPOs, and other payors - and get bigger and faster reimbursement!

Subscribe »

2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001

Managed Care Contracting and Reimbursement Advisor

Issue 12, December 1, 2004 - VIEW THE FULL ISSUE

• Get ahead of the curve

  Plan networks are becoming smaller and more selective. As a result, a growing number of providers...

• Deal directly with payers to bypass repricers for out-of-network members

  If you treat a plan member out of network, you're likely to hear from a repricer who represents the...

• How to spot phony malpractice insurance before you buy it

  Picture this: You buy malpractice insurance for your practice or your provider organization and...

Issue 11, November 1, 2004 - VIEW THE FULL ISSUE

• E tools: Model Contract Language: Negotiate additional reimbursement rates

  E tools: Model Contract Language: Negotiate additional reimbursement rates

• E tools: Tell Member that Plan's Determination of U&C Rates Is Unacceptable

  E tools: Tell Member that Plan's Determination of U&C Rates Is Unacceptable

• E tools: Clarify when "inpatient" and "outpatient" labels apply

  E tools: Clarify when "inpatient" and "outpatient" labels apply

Issue 10, October 21, 2004 - VIEW THE FULL ISSUE

• E tools: Excuse Nonperformance Caused by 'Force Majeure' Event

  E tools: Excuse Nonperformance Caused by 'Force Majeure' Event

Issue 9, September 1, 2004 - VIEW THE FULL ISSUE

• E tools: Force Plan to Negotiate New Technology Reimbursement Rates

  E tools: Force Plan to Negotiate New Technology Reimbursement Rates

Issue 8, August 21, 2004 - VIEW THE FULL ISSUE

• E tools: Model Letter: Tell Plan Its Determination of U&C Rates Is Unacceptable

  E tools: Model Letter: Tell Plan Its Determination of U&C Rates Is Unacceptable

• E tools: Model Contract Language: Negotiate Preauthorization Requirements

  E tools: Model Contract Language: Negotiate Preauthorization Requirements

Issue 7, July 21, 2004 - VIEW THE FULL ISSUE

• E tools: Limiting Scope of Indemnification Clause

  E tools: Limiting Scope of Indemnification Clause

Issue 6, June 21, 2004 - VIEW THE FULL ISSUE

• E tools: Get Plan Not to Penalize You for Unintentional Administrative Mistakes

  E tools: Get Plan Not to Penalize You for Unintentional Administrative Mistakes

• E tools: Model Letter: Request Payment Guarantee for Preauthorized Services

  E tools: Model Letter: Request Payment Guarantee for Preauthorized Services

Issue 5, May 21, 2004 - VIEW THE FULL ISSUE

• E tools: Model Letter: What to Tell Plan if You Won't Agree to One-Shot Discount

  E tools: Model Letter: What to Tell Plan if You Won't Agree to One-Shot Discount

Issue 4, April 21, 2004 - VIEW THE FULL ISSUE

• E tools: Model Language: Notify Plan You Intend to Bill Member for Full Charges

  E tools: Model Language: Notify Plan You Intend to Bill Member for Full Charges

• E tools: Model Contract Language: No Discount If Plan Pays Late

  E tools: Model Contract Language: No Discount If Plan Pays Late

Issue 3, March 21, 2004 - VIEW THE FULL ISSUE

• E tools: Clause Specify How You'll Provide and Get Paid for Online Consults

  E tools: Clause Specify How You'll Provide and Get Paid for Online Consults

Issue 2, February 21, 2004 - VIEW THE FULL ISSUE

• E tools: Model Letter: Tell Plan Its Downgarde Is Unacceptable

  E tools: Model Letter: Tell Plan Its Downgarde Is Unacceptable

• E tools: Make Sure Single Contract Sets Out Differences Among Plan Products

  E tools: Make Sure Single Contract Sets Out Differences Among Plan Products

Issue 1, January 21, 2004 - VIEW THE FULL ISSUE