Healthcare Training Courses 2014 - How To Develop and Execute a Payer Contracting Strategy and Business Rules

Overview: Few healthcare organizations have taken the time and effort to develop a formal contracted reimbursement strategy and set of standard business rules. Is it because they don't have time? or they Don't know how?
Why should you attend: In this webinar, the presenter will discuss best practices for establishing a formal contracted reimbursement strategy and set business rules according to the type of payer under consideration.
Areas Covered in the Session:
The presenter will share a set of 30 model business rules designed for:
Managed care
Self-funded health benefit plans
Workers Compensation,
Motor Vehicle Accident Insurers
Managed Medicaid
Medicare Advantage plans
Who Will Benefit:
Contract Analysts And Negotiators
Revenue Cycle Managers And Directors
Billing Staff
Refund Analysts And Processors
CFO's And Patient Financial Services Managers
Outpatient Clinic And ASC Managers
Healthcare Business Managers
Hospitalists And Private Practice Physicians
Medical Group Administrators
Physical, Occupational, Speech Therapists
Behavioral Healthcare Providers
Independent Nurse Practitioners
Home Healthcare Providers
Medical Equipment And Supply Providers
Pharmaceutical Manufacturers
ACO Executive Directors
Members Of UR Committees
Case Managers
Compliance And Audit Professionals
Health Information Managers
Hospital Board Members
Consultants
Maria K Todd Contracting strategy and organizational development (OD) for integrated health delivery systems has been a passion and a pursuit of our workshop leader since 1983. Maria Todd started her career in health administration in the multi-specialty group practice setting, and later designed and developed more than 150 IPAs, PHOs and MSOs during the Clinton Administration. In 1995, McGraw Hill and HFMA co-published her book, The Managed Care Contracting Handbook, and then in 1997, her book, title IPA, PHO, MSO Development Strategies was released. Both how-to books were written to help providers develop reimbursement strategies and design, plan and launch integrated health systems. Each sold more than 4000 copies. Considering there are about 7500 licensed hospitals in the USA, that number is considered a smashing success. In 2009, the sequel to ththe Contracting Handbook was updated and in 2012, her book, Physician Integration and Alignment: IPA, PHO, MSO ACOs and Beyond, was published by CRC | Productivity Press Both are once again, breaking industry sales records. She's been analyzing and negotiating managed care contracts and practicing organizational development as a facilitator since the 1980s.
MentorHealth
Roger Steven
Phone No: 800-385-1607
FaX: 302-288-6884
webinars-AT-mentorhealth.com
Event Link: http://bit.ly/XmSbHI
http://www.mentorhealth.com/