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Developing Successful Processes for Monitoring Payer Contract Performance and Reimbursement

Session #: 81707-xh
Presenter(s): Karen Bayer
Session Length: 1hr. 40 min.
Event: 2007 HFMA Audio Webcast
Date: 02-01-07

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With the complexities of current healthcare reimbursement, organizations need to be able to determine if they are being reimbursed according to contracted rates. They also need to stay on top of payer policy changes and pre-certification/authorization requirements that will ultimately impact reimbursement for the organization. Developing a unified system-wide approach is key to organizational success. Having consistent processes to track and monitor payer activity will help the organization stay ahead of the game.

This Audio Webcast will outline successful strategies one organization has implemented to monitor reimbursement and operational concerns with their contracted payers. You will also learn how the organization developed a team approach to contracting, which enabled them to better monitor payer performance.



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