PPT-Using Data to Renegotiation Your Payer Contracts

Author : pasty-toler | Published Date : 2016-07-01

April 2 5 201 5 Presented by Aimee Heckman OP 15 Billing Manager General Session Using Data to Renegotiate Your Payer Contracts PLAN Track and monitor your

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Using Data to Renegotiation Your Payer Contracts: Transcript

April 2 5 201 5 Presented by Aimee Heckman OP 15 Billing Manager General Session Using Data to Renegotiate Your Payer Contracts PLAN Track and monitor your contracts DO Value current contracts by assessing fee schedules. Payer information Emdeon payer information* Paper claim mailing address Billing provider ISA-08 GS-03 AmeriHealth WHAT IS SINGLE PAYER? Single payer refers to a way of financing health care, which includes both the collection of money for health care and reimbursement of providers for health care costs. In the U Blue Cross & Blue Shield. OT 232. Ch 9. 1. OT 232 Ch 9, #3. Interpreting Compensation. & Billing Guidelines. Contracts should state how allowed amounts are determined. Usually a percentage of MPFS or a discounted fee-for-service arrangement. IETF-76. Joe Salowey. (. jsalowey@cisco.com. ). Eric Rescorla. (. ekr@rtfm.org. ). TLS Renegotiation Vulnerability. Discovered by Marsh Ray and Steve Dispensa of PhoneFactor - 08/2009. Re-Discovered by Martin Rex duing Channel Binding Discussions on the TLS list – 11/2009. A survival analysis approach. Christophe J. . Godlewski. UHA & EM Strasbourg (. LaRGE. Research Center). 6. th. IFABS Conference . 2014. , . Lisbon. 1. 2. Take away. Determinants of bank loan renegotiation dynamics. WHAT IS SINGLE PAYER? Single payer refers to a way of financing health care, which includes both the collection of money for health care and reimbursement of providers for health care costs. In the U Frequently Asked Questions. . TearScience. Annual Sales Meeting. . February 7-9, 2017. Presented by Syndi Burton, Reimbursement Specialist. 2. Table of Contents. Complimentary service administered by Quorum Consulting. Single Payer 101 . A Year in Headlines…. NOT a reimbursement strategy. Can coexist with fee-for-service, capitation, DRGs, etc.. NOT a health-care delivery scheme. NOT government employment of/control over doctors (socialized medicine). . Aaron . Burky. Director, Transitional Operations. Conifer Health Solutions. Agenda Topics. From then until now…... Managed Medicaid Penetration. National. 2002 57.5% 23.1MM recipients. 2011 74.2% 42.3MM recipients. Linda Liu MS4. Shirlene. . Obuobi. MS4. Your patient is a 64 y/o . woman . admitted to cardiology for a MI. . You are . preparing to discharge her . and want to . set up PCP and Cardiology follow up appointments for her. . Kay Tillow, All Unions Committee for SP. Brad Zehr, Boston University School of Medicine. Andrea DeSantis, DO AAFP Single Payer Member interest Group. . . . Goals of this Workshop. Tips for getting into the game: Identifying existing (or the potential to create new) forums for organizing around the topic of Single Payer within your professional organization.. 1PageIntroductionThis beginning chapterwill provide an introduction toformingrelationships andworking on contractswith your commercial payers We will cover the basics of what payer contractingis anove 1. . WILD!!. Presented by:. Day Egusquiza, President. AR Systems, Inc. & Patient Financial Navigator Foundation, Inc. . “. The mind is a flexible mirror. Adjust it to see a better world” Amit Ray. ANNUAL PREMIUMS DATA REQUEST 2015 Payer Consultative Session December 9, 2014 2:00PM Agenda Introductions Overview of 2014 Data Request How 2014 Data were Used Lessons Learned & Payer Feedback Potential Changes Timeline 2 Introductions

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