Friday, June 05, 2009

Managed Care Contracting - get some help, NOW!

Ugghh! Is it just me or are these contracts getting longer and have more and more plans attached to them? I’m beginning to feel that the amount of pages is in direct correlation to the amount of physician dollars they intent to keep. Time frames are shortening, the amount you can collect from the patient is obscure and the hoops that need to be jumped through are increasing. Managed care contracting shouldn’t be such a nightmare, and it really isn’t. Practice managers just don’t have the time to wade through the pages, delve into the research, crunch all the numbers and take on the challenge in a normal office day. More and more practices are seeking outside help from contracting groups to help with these issues. Groups need advocates to negotiate the best rates and terms for all their hard work. Hiring a managed care consultant is no longer a luxury, it’s almost a necessity.

So, when the next contract comes in, take the time to think about whether you want to just cave in and sign or really have someone fight for your best interests.

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