Dealing With Third Party Payers: Negotiating Contracts And Responding To Requests

Instructor: Stephanie Thomas
Product ID: 705726
  • Duration: 60 Min
This webinar will discuss the elements to take care when submitting a new third party payer contract. Understand the importance of risk and cost to payers during the contracting process. Find what payers are looking for, and how to effectively communicate with them. You will be able to learn tips and tricks to billing out of network and why this may be the best option for your bottom line. How to read contracts and understand what your rights are for renewals.
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Why Should You Attend:

Learn tips on initial credentialing, what payers want and are looking for. We will share online portals and how to fill out credentialing applications thoroughly to ensure timely and efficient processing. Learn what to do if panels are "closed". We will also go on to share how to keep up on maintenance of your initial contract. Also, learn how to negotiate better contracts. We will take a deep dive into this topic. We will also cover how to increase your revenue.

Areas Covered in the Webinar:

  • Credentialing - We will cover credentialing with 3rd party payers and how to best accommodate their requests.
  • Contracting - Different from credentialing we will cover in depth the contracting process. What to expect, how to get the best contracts etc.
  • Components of Contracts - Payer responsibility, provider responsibility, compensation and billing, utilization review, records maintenance, liability, dispute resolution, term and termination, general provisions
  • Rules and regulations in Contracting - Medical necessity, providing reports, notify of change of ownership, address etc.
  • Negotiating - Find how to negotiate the best contracts. Work with your network representatives to negotiate carve outs etc.
  • Best Negotiation Strategies - Read contracts thoroughly, understand verbiage, ask for what you want.
  • Increasing Revenue - Find how to increase your revenue with your current payer mix as well as seeing some out of network patients.

Who Will Benefit:

  • Office Managers
  • Credentialing Managers and Staff
  • Administrators
  • Billing Managers and Staff
Instructor Profile:
Stephanie Thomas

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.

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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.

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