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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > May, 2007 Vol. VIII, No. 5

Ready to Renegotiate Your Managed Care Contracts?

Evaluate existing contracts now so you'll be set for what the new payment system brings.

Alicia R. Cooper

When CMS finally gets around to issuing that new payment system we're all waiting for (it's supposed to happen this spring or early summer), you're going to have a lot on your plate. Not only will you have to figure out how to cope with payment cuts on current procedures, procedures' migrating to other surgical settings and the addition of procedures that are suddenly profitable, but you're also likely going to have to renegotiate some, if not all, of your third-party contracts. Here are some tools to help you become more knowledgeable, keep organized and, hopefully, come out of contract negotiations a winner.

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Get organized; Sort and rate; General representations, warranties, terms of administration; Roles and responsibilities of payers and providers; Roles and responsibilities of members/beneficiaries; Reimbursement issues; Renewal and re-evaluation; Stand up for yourself; Carolina; Contracts; Current; Examining; Feel; Learn; North Carolina; Relax; Review; ability; acceptable; access; accordance; act; addition; afraid; agree; arbitration; armed; assessing; authority; benefit; bottom; break; brought; care; carried; changing; checklist; claim; clause; clauses; communication; complete; concessions; co... show all keywords
Get organized; Sort and rate; General representations, warranties, terms of administration; Roles and responsibilities of payers and providers; Roles and responsibilities of members/beneficiaries; Reimbursement issues; Renewal and re-evaluation; Stand up for yourself; Carolina; Contracts; Current; Examining; Feel; Learn; North Carolina; Relax; Review; ability; acceptable; access; accordance; act; addition; afraid; agree; arbitration; armed; assessing; authority; benefit; bottom; break; brought; care; carried; changing; checklist; claim; clause; clauses; communication; complete; concessions; consent; contact; continues; contract; contracts; contractual; cope; cover; credentialing; critical; crucial; current; cuts; damper; day; deal; deal-breakers; decide; decisionmaking; desk; digging; directed; early; easy; electronic; eligibility; embrace; end; energy; ensure; enter; entire; establish; established; expense; exponentially; facility; factors; fairly; fight; figure; figuring; file; filing; finally; fiscal; flow; focus; footing; framework; free; front; function; general; generally; give; good; great; grievance; happen; happy; higher; hit; hold-harmless; idea; important; increase; indemnification; information; initiate; insurer; intact; interfacing; issues; issuing; knowledge; level; line; listed; lived; long; lot; made; making; mark; marketing; marketplace; match; meaning; medico-legal; meet; memorize; migrating; modify; move; multiple; mutual; needed; negotiated; negotiation; notes; notice; one-to-five; online; operational; order; organized; page; paid; part; patients; payer; payers; payment; payments; percent; percentage; period; place; points; population; pore; position; prep; prepare; prioritize; privilege; problem; procedure; proceedings; process; push; put; rank; rating; re-evaluate; record; reimbursement; reject; rejected; relationship; renegotiate; represented; request; resolved; responsibilities; responsibility; review; reviewing; run; satisfied; served; service; set; settings; sheet; situation; skim; solid; space; specific; spring; standard; standardized; start; starting; starts; status; subsequent; suddenly; summary; supposed; surely; surgeon; surgery; surgical; surprise; survive; system; tackle; tailor; term; terms; third-party; time; tools; top; track; travel; understand; update; waiting; wanted; waste; weeks; worth

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