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Challenges with ASC Insurance Contracting vs. Out of Network Billing - Webinar (Recorded)

  • Webinar

  • 60 Minutes
  • April 2018
  • Compliance Online
  • ID: 4899781
Why Should You Attend:

By attending this session, you will feel confident when making a submission for a new contract. You will be able to understand the importance of risk and cost to payers during the contracting process. You will understand what payers look for, and how to effectively communicate with them. You will get tips and tricks for billing out of network and why this may be the best option for your bottom line. You will also learn how to read contracts and understand what your rights are for renewals.

This session will discuss:

Length of time to expect for contracting
What data is important to submit with your request
Specific contract terms to watch for
How to prove value to the payer
How to negotiate “carve-outs”
How to terminate a contract
Out-of-network billing tips and tricks

Areas Covered in the Webinar:

Myths about out of network
Medicare contracting
Mandatory documentation to be included
Medicaid contracting
Blue Cross contracting
Triwest or Tricare plans
Difference between TRICARE-certified and TRICARE-contracted
Commercial payers
Narrow networks
Contract verbiage for narrow networks
Impact of narrow networks on your bottom line
What to include with your initial application
How to prepare your negotiations
How to negotiate carve outs
Warning signs for contracts
Pros and cons of out-of-network billing
How to terminate a contract

Speakers

Stephanie Thomas is the Billing Director for CE Medical Group, a third party billing and consulting firm. Stephanie has been in the medical field for nearly 20 years. Her experience includes Private Practice Administration, Medical billing for several specialties, Practice Management Consulting for numerous physicians and ASC’s across the nation.