Understanding, Auditing, and Renegotiating Payer Contracts

November 02, 2022
60 Mins
Stephanie Thomas
$199.00
$299.00
$299.00
$349.00
$299.00
$199.00
$299.00
$199.00
$199.00
$299.00
$299.00
$199.00
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Managing payor contracts is one of the primary challenges that every healthcare provider faces. From changing reimbursement to network irregularities, clauses and understanding fine print, contracting can be a painful part of practicing medicine. Declining income and increasing workload is at the forefront of most medical practices’ minds. Understanding and auditing your current payer contracts is imperative to a successful profitable business.
 
When reviewing contracts, do you know what to look for? What verbiage to be wary of? Do you know your contract renewal date? All of these are important and significant items that need to be addressed.
 
Renegotiating contracts, although sometimes time consuming, can be worth the effort and can bring new markets to your practice.
 
Join this webinar and let our expert speaker Stephanie Thomas walk you through each part of a payor contract, how to understand and utilize this information to be sure you're being
paid correctly, auditing for hidden clauses, and renew/analyze data for potential renegotiation.

Webinar Objectives
  • Low reimbursement
  • Incorrect denials
  • Wrong timely filing limits
  • Network level/tier payment confusion
  • Evergreen contracts
  • Incentives
  • Capitated payments
  • Fee for service payments
  • Retro-denial/ retraction of payments
Webinar Highlights
  • Understanding payor contracts
  • How to analyze real data – visit based
  • Properly identify payor matrix
  • Auditing Explanation of Benefits
  • How to renegotiate successfully
Who Should Attend

Any medical practice

Stephanie Thomas

Stephanie Thomas

Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to support her mission of assisting practices and Physicians across the country with proper coding and aggressive billing practices while being compliant. Stephanie also has extensive knowledge in physician practice processes, front desk, back office, and clinical. This knowledge allows her to be an invaluable asset for all things clinical operations,...
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