COURSE DESCRIPTION...

An introduction to managed care organizations and reimbursement models frequently encountered with each

What's Covered...


A functional review of contract forms, structures and content

In this workshop, participants gain a clearer understanding of the contract form, structure and content used to construct managed care agreements for third-party payer reimbursement, including, but not limited to:

  • Beginning and Ending Dates
  • Offer and Acceptance
  • Reimbursement Terms
  • Duties of the Parties
  • Recitals
  • Definitions
  • Miscellaneous Provisions
  • Memorandum of Understanding
  • Letter of Agreement
  • Single Case Agreement
  • Continuous Discount Arrangement
  • Standard Contract Template
  • Parol Evidence Rule

Tools & Takeaways

Take home helpful checklists, reference tables of each type of MCO to help you manage contract analysis and negotiation better
Template for a Single Case Agreement for one-time use

Format

Seminar - 6 hours

Level

Beginner / Refresher

What's Included in Registration Fee...

  • Continental Breakfast, Beverages
  • AM/PM Break Refreshments
  • Lunch
  • After class reception
  • Course Materials on a USB Drive
  • Comprehensive Contract Review Checklist
  • Reference Tables
  • Course Completion Certification
  • 60-minute post-seminar conference call for follow up questions

Stay for the weekend and visit the national parks and recreation areas nearby

Recommended for...

  • Contract Analysts and Negotiators
  • Revenue Cycle Managers and Directors
  • Billing Staff
  • Refund analysts and processors
  • CFOs 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

Prerequisites

Familiarity with contracted reimbursement concepts and basic terminology

Pre-work

None

Course Dates

Friday October 27, 2017

Course Time

9a-4:30p

Venue

The Healthcare Business Institute
Entrada at Snow Canyon Country Club & Resort
St George (SGU), Utah

Registration Fee

$495