No is a request for information In all things inter-personal, No means No. In managed care contracting, No is a request for information. In other words, if you have a reasonable request which makes sense, don’t take no for an answer. It may take time, it may take a different approach but stay on it,…
Most long term relationships are built on mutual trust and respect. Valuable relationships are not built on mistrust, fear or intimidation. Same holds true for the relationship your practice has with payers and especially payer representatives.
It would be better that you know that it is a good idea. Putting together a well thought out and honest Proforma can prove the business case of an idea…or disprove it.
One of the best life lessons I ever learned is always hire higher! Hire people better than yourself! Some managers are intimidated to do this, thinking they may be replaced, they may lose control, etc. If that could happen it will anyway! Always recruit and hire people better and when possible more knowledgeable than yourself!
The staff is everything! We cannot do it without them. Our (and your) most valuable asset is the staff, their abilities, their training, their insights, their work ethic. If this is true, why do so many do it so poorly? When we buy a copier, lease space, buy a car, etc. we do research, we ask around, we make comparisons.
It is still out there alive and well. Don’t take your eye off the ball when it comes to contracting with your payers. Managed Care Contracting is a continual process. It should be done constantly and consistently.
Another set of scary acronyms! As with all of these roll outs, take it one step at a time! It is really not scary IF you have been keeping up on coding and documentation and have a reasonably up to date EMR.
We are done right? We made it, we are ok…keep rolling on… NOT so fast!
ICD-10 is key to a lot of the new regulations that are rolling out MIPS and MACRA being great examples.
The Affordable Care Act (Obama Care) looks to be the first target of a Republican dominated House, Senate and President! Much in the ACA is entangled in the current tax code. It will not be as simple as defunding it. The employer and individual mandates, the premium tax credit, the (so called) Cadillac Tax, the…
At the end of the day, contracting in this day of pay–for–performance and adding value to the relationship is about the bottom line. What is the bottom line? The Spend! In most states, including Colorado, the commercial health plans have to tell the state what their premiums are. Their premiums come from their estimate as to…