4 Managed Care Questions Regarding Claims Payments

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these two questions during negotiations within managed care contracts regarding claims payment and covered services.

Advertisement

1. What is the payor’s track record concerning payment of claims? What is the payor’s current financial position?

2. Does the contract target a specific segment of the market not previously reached in other contracting opportunities?

3. Can the providers bill their usual charges for non-covered services?

4. Are noncovered services properly defined?

More Articles on Coding and Billing:
Kure Pain Management Expands Services for Workers’ Compensation, Auto Accident Issues
6 Strategies to Make Spine Practice Business Models More Patient-Centric    
6 Ways to Increase Spine Practice Profits From Dr. Douglas Won

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement

Comments are closed.