2. Introduction
Healthcare Contract Management majorly deals with
management of contracts between payor and providers.
Complexities involve with the ever-changing policies, regulations,
compliance and insurance charges to be monitored and tracked
for efficiency and quality.
It can get difficult for physicians and medical practices to keep a
track of the contractual agreement and focus on patient care and
achieve maximum reimbursement.
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3. With COVID and Pandemic producing a plethora of
challenges with Healthcare and Medical Billing, there has
been an immediate need to bring forth advancements and
upgradation to various areas and processes undergoing
the ongoing changes.
Effective Healthcare Contract Management has become
quintessential to deal with current demands.
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5. What is Healthcare Management?
A typical contract between the healthcare providers such
as hospitals, Medical Groups, Medical Practices,
Physicians and Insurance careers or Healthcare care plans,
Managed Care Organizations (MCO), Health Maintenance
Organization (HMO).
Healthcare Contract Management seamlessly strives
towards adhering to and managing such contractual
agreements while closely monitoring and analyzing for
changes and updates affecting current trends.
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6. Every physician and practice aims towards
efficient Healthcare Contract Management to ensure:
Quality Patient Care
Bring down Operational costs and focus on increased
finance
Keep up with Insurance Policies, Healthcare
Regulatory and Compliance
Assess and Mitigate risk factors
Process Standardization
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7. How to Achieve Effective
Healthcare Contract Management?
Engaging into a streamlined process to review and
maintain contractual agreements regularly and notifying all
staff involved on changes and updates are key factors to
ensure effectiveness along with few steps listed below.
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8. Process Automation
Implementing the latest upgraded tools and software to
manage healthcare contracts can deteriorate complexities
and manual efforts and cost involved.
Current upgraded software has various tools to notify
changes and ensure the contractual agreement is intact
and up to date.
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9. Frequent and Regular Audits
Frequently auditing contractual documents, reviewing any
changes or updates related to the protocols or pricing is
essential to ensure fee value for each and every Medical
service is as per the current contract.
Any delays or misses in such fee schedule updates can
lead to processing your claims at low cost than payable
affecting monthly collections.
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10. Outsourcing Healthcare Contract
Management
Managing Healthcare Contract Management In-house
can be cumbersome causing unwanted delays and revenue
loss.
Outsourcing benefits with expertise services keeping and
upgrading all contractual agreements current and educating
related billing and coding staff process the claims
accordingly and earn due reimbursement.
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11. MGSI is a 25-year-old
leading provider of Medical
Billing Services in Tampa,
FL. Rated A+ from Better
Business Bureau and
adhering to HIPAA
Compliance, MGSI assures
the highest level of security
and PHI protection.
About MGSI
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12. MGSI provides Revenue
Cycle Management
services to more than 600
physicians, physician groups
across the nation.
MGSI also
provides Healthcare contract
Management Services by
reviewing the fee
schedule with the payor to
ensure reimbursements are
based on your contractual
agreements.
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13. To know more about MGSI and our services
Call us: 1-877-896-6474
Visit our website: www.mgsionline.com
Contact us
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