Senior Director Provider and Payer Service Professional Billing Office
Eligible for: ACMPE: 1|ACHE: 1|CEU: 1|CME(AAPC*): 1|CPE: 1.2|PDC: 1|PDU: 1 *MGMA is now offering our full conference for AAPC credit via our partnership with ACCME. Please see the event Continuing Education page for more information. Traditional | Basic | Comprehension
*Session will be included in the MGMA Summit.
Payer contracting is a process that remains at the forefront of healthcare organizational financial oversight and remaining proactive in this endeavor is key. However, other administrative facets must be reviewed and optimized aside from the rate reviews. This session is designed to help you identify processes, policies and operational routines important to your practice. Doing so will assist with reducing administrative hassle, reduce costs and improve care quality. Creating processes for implementing contract modifications after negotiations end and identifying resources needed to perform routine reviews work best when leveraging staff, billing data and internal policies. Although all successful rate negotiations ultimately help our organizations, a more comprehensive effort look will lead us to better outcomes overall.
Learning Objectives:
Identify key internal factors to evaluate that will impact successful payer communications.
Describe an environment that develops internal team members as resources in preparation for payer contracting.
Discuss strategies to leverage organizational data and staff skills.
