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Contractual Compliance


STOP THE SILENT PPO "BLEEDING" NOW!

Session #: 81727-xh
Presenter(s): Panel
Session Length: 1hr. 40 min.
Event: 2007 HFMA Audio Webcast
Date: 04-11-07

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Healthcare providers can find untapped revenue by "bandaging" their Silent PPO problem. Inappropriate discounts, improper contractual access and improper leasing of networks all lead to the loss of significant managed care revenue for providers, many of whom will have no idea that they are being victimized. Analyzing and reviewing payor mixes and managed care contracts in light of inappropriate discounts and Silent PPO activity can help providers develop and implement a cohesive strategy toward reducing and, ultimately, eliminating Silent PPO discounts. Learn how one health system found millions of dollars by developing a Zero Tolerance Standard for improper discounts. Whether large or small, every facility can significantly impact their bottom line by identifying and eliminating improper discounts. Every step toward implementing favorable contractual provisions which reduce or prohibit Silent PPO access means more money for the bottom line. Fortunately, finding a strategy that works can be painless and fun. Along the way, managed care directors can minimize such discounts prospectively by negotiating favorable managed care contract provisions and retrospectively by harvesting improper discounts that they find.



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