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Negotiating Managed Care & Other Payer Contracts
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Negotiating Managed Care & Other Payer Contracts

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  • Patient registration Fill out forms Financial policy (maybe) Explanation of patient financial responsibility ABN forms
  • http://www.linkedin.com/in/djzetter
  • Transcript

    • 1. presentNegotiating Managed Careand Other Payer Contracts Presented by David J. Zetter, PHR, CHCC, CHCO, CPC, CPC-H, PCS, FCS, CHBC Presented by David J. Zetter, PHR, CHCC, CHCO, CPC, CPC-H, PCS, FCS, CHBC 1 © 2012 Zetter HealthCare
    • 2. Disclaimer 2• No copyright claimed on government material or information. This material is designed to offer basic information. The information presented is based on the experience, training and interpretation of the author. Although the information has been carefully researched and reviewed for accuracy and completeness, neither the author, DecisionHealth or Part B News accept any responsibility or liability with regard to errors, omissions, misuse or misinterpretation. 2 © 2012 Zetter HealthCare
    • 3. TakeawaysCurrent process or lack thereof?Learn proactive steps to be “in charge”Leverage your position with knowledgeSpecific step-by-step tips to improve your positioning and negotiating power 3 © 2012 Zetter HealthCare
    • 4. Current “Popular” Process 4 © 2012 Zetter HealthCare
    • 5. “Popular” Process SHARE!  Initiation of appointment  Patient registration  What happens at check-in  What happens at check-out  Claims submission  Patient responsibility  Statements  Collections 5 © 2012 Zetter HealthCare
    • 6. For Follow-up & Further Questions Contact: David J. Zetter,PHR, CHCC, CHCO, CPC, CPC-H, PCS, FCS, CHBC 717.691.7100 Email: djzetter@zetter.com Subscribe to our newsletter at Follow us on www.twitter.com/djzetter and www.linkedin.com/in/djzetter 6 © 2012 Zetter HealthCare