Session #: 805-27
Presenter(s): Ellen Stewart
Session Length: 1hr. 00min.
Event: 2005 HFMA ANI Date: 6-26-05
You'll Learn The latest developments relating to managed care agreements, including authorization, site inspections, HIPAA compliance, medically necessary services, provision of data, and other provisions often overlooked in managed care agreements. Approaches to weigh the decision to participate or not participate as a provider in various plans, including HMOs, PPOs and ERISA plans. The latest provisions you need to include in managed care agreements, including agreements covering ERISA plans (through PPOs), direct contracting with employers, and denials management techniques
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