May 1st, 2013
Part 4: Know what they are, how to write one, and why they are vital to the contracting process. By Marcia Brauchler, MPH, CPC, CPC-H, CPC-I, CPHQ What I call a “Health Plan Proposal” letter is an integral part of the contracting process. Drafting this letter helps you to gather your thoughts and puts you ...
Dec 1st, 2012
By Marcia Brauchler, MPH, CPC, CPC-H, CPC-I, CPHQ The new year is nearly here. Time to get a fresh start on your payer contracts. Gather your year-end data and prepare yourself to approach payers for new agreements or rate updates. Start with a High-level Perspective After you’ve gathered the contracts and information from payer websites ...
Jul 1st, 2009
Part 1 of a 2-part series The first step is to incorporate concise contract negotiations. By David Peters, CPC, CPC-P, PCS, CCP-P Whether you work in a physician’s office or a hospital, negotiating and understanding third-party payer contracts may be intimidating. The terms can be difficult to understand and the stakes are high. A poorly ...