How To Develop and Execute a Payer Contracting Strategy and Business Rules - Webinar By MentorHealth

 

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. 

In 2010, the US Patent and Trademark Office (USPTO) granted Maria Todd the registration of a new term of art, the Globally Integrated Health Delivery System® for her application of the integrated health system concept and operations to the medical tourism and health travel arena. She built the first and only globally integrated health delivery system which combined all the elements of ACO accountability, predictive modeling, case management, provider credentialing and privileging, quality, safety, clinical outcomes and patient satisfaction metrics, telehealth and telemedicine technology applications, electronic medical records, international cloud-based data and privacy security, and TPA operations for provider claims settlement and bill audit. To this, she added a fully-documented system to manage complex and specialized health travel logistics coordination to the mix.      MentorHealth Roger Steven Phone No: 800-385-1607 FaX: 302-288-6884  webinars@mentorhealth.com Event Link: http://bit.ly/XmSbHI http://www.mentorhealth.com/