Buy Coursework: Coursework Writing- Recognize problematic contract terms affecting both reimbursement and operations
The five (5) key components to effective contract management are as follows:
- Identify how the managed care environment, players, and dynamics can impact an organization.
- Review insurance, PPO and ERISA plan contracts in order to successfully maximize reimbursements and minimize denials.
- Recognize problematic contract terms affecting both reimbursement and operations.
- Discuss capitation per diem and percentage of charges rate, and understand the risks assumed, plus develop strategies for managing and sharing those risks.
- Review the driving forces in managed care (including healthcare reform), specifics on payer initiatives, public policy, and patient service imperatives that are shaping change.
