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You are here > Home > Reading Lists > Compliance Resources > Managed Care Survival Guide for Healthcare Providers Managed Care Contracting Survival Guide
for Healthcare Providers: Negotiating, Contracting, and Operational
Planning for Success Looseleaf Manual & CD-ROM Set
Managed care contract terms have a direct impact on your organization’s bottom line, in terms of patient volume, revenue, and cash flow - not to mention staffing and business planning. Those contracts you end up with have a major effect on the profitability, and even the success or failure of your organization. So it’s crucial that you have a plan in place for your contracting and reimbursement strategy. The Managed Care Contracting Survival Guide delivers what no other publication in the industry does - a current, complete "how-to" guidance to meet the myriad challenges inherent to managed care contracting. This book and CD-ROM resource set gives you hands-on, practical, day-to-day tactics for successful business operations. You'll learn how to:
The Managed Care Contracting Survival Guide will help you build a sound negotiating strategy, write guidance that sets realistic time lines, resolve disputes in your facility's favor, and most importantly, get paid what you deserve and on time. Surveys confirm that the negotiating process is stressful and often intimidating for managed care professionals. Issues surrounding reimbursement and payer policies are among those most often cited as troublesome in terms of training staff. This reference set breaks down these difficult and challenging concepts and offers realistic solutions that put you in control. Whenever you need additional guidance, you will be able to access information here on:
This is a must-have resource for managed care directors and their staff. If you are a PFS professional, contract modeler, revenue cycle manager, chief financial officer, or vice president of finance, this resource gives you the edge you need for your organization's financial success. Lisa Spoden, PhD, MHA, is senior partner and executive vice president of Strategic Health Care, in Washington, DC. Spoden oversees the company’s association management, federal grants, and managed care contracting practice areas, providing strategic guidance, program development, and executive management expertise. John M. Kirsnery, Esq. is partner with Squire, Sanders & Dempsey of Columbus, OH. Kirsner acts as both counsel and advocate for insurance companies, health plans, managed care organizations, hospitals, other health care providers and governmental organizations. Every healthcare professional knows that the day-to-day operations are as much a function of dealing with laws, regulations, price guidelines, and internal policies as is the desire to provide quality care. Nowhere else is the impact on the facility's bottom line more evident than in managed care contracting. It's noticeable in terms of patient volume, revenue, cash flow, staffing, and business planning. The contacts that a provider enters into or decides not to participate in have a major effect on the profitability, and even the success or failure of the organization. With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety. (information provided by the publisher) You may also be interested in / The Directory of Healthcare Recruiters / Jump to a List / Health Administration & Leadership / Physician Executive, Medical Staff & Practice Management / Finance, Accounting, Economics, Billing & Reimbursement / Coding for Hospital, Physician & Clinical Services / Law, Malpractice, Ethics, Accreditation & Compliance / Quality Improvement, Outcomes & Customer Service / Risk Management, Security, Error Reduction & Patient Safety / Information Systems, Technology & Medical Records / Clinical Management & Executive Nursing / Behavioral Health, Social Work & Psychiatry Management / Human Resources, Management & Supervision / Directories, Data, Trends & Benchmarks / Software & CD-ROMs / Gift Ideas & Recommended Gifts / Journals, Magazines & Newsletters / Search for Books / Books Index / Go to / Home Page / Toolbox for Health Administrators / Bookstore / |
