Challenges with ASC Insurance Contracting vs. Out of Network Billing
Instructor:
Stephanie Thomas
Product ID: 705676
- Duration: 60 Min
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
Who Will Benefit:
- ASC Administrators
- Physician ASC Owners
- Billing Managers
- Credentialing Administrators/Support
Stephanie Thomas
Billing Director, CE Medical Group
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.
Refund Policy
Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange. Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time.If you have any concern about the content of the webinar and not satisfied please contact us at below email or by call mentioning your feedback for resolution of the matter. We respect feedback/opinions of our customers which enables us to improve our products and services. To contact us please email [email protected] call +1-888-717-2436 (Toll Free).
