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Managed Care


Challenging UCR Payments Utilizing Mediation

Session #: 805-28
Presenter(s): Renee Jordan, Stephen Bacen Sr., Stephen Bacen Jr.
Session Length: 1hr. 00min.
Event: 2005 HFMA ANI
Date: 6-26-05

Purchase Media - Session #: 805-28
Description Price Qty. Cart
 1. Audio CD $15 $15.00 buy now  
 2. MP3 CD $15 $15.00 buy now  

You'll Learn
The methodologies to effectively challenge UCR calculations.
How providers can use the mediation process as a vehicle to maximize recovery of a claim.
Health plan policy contract language used for reimbursement of reasonable charges.
The interaction of ERISA with reimbursements of reasonable charges.
Tips on how to negotiate the best outcome.
How the mediation process can be a beneficial tool in resolving disputes



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