Credentialing and Contracting with Third Party Payer: Negotiating Tips to Maximize Reimbursement
Course Description:
While submitting a new third-party payer contract, you must consider key elements of contracting and rules and regulations associated with it. Providers or medical practices must recognize the significance of cost and risk to payers when entering into a contract. Learn what the payers want and how to talk to them in a way that makes sense. You'll discover how to bill out of network and why it can be the greatest choice for your financial situation.
Learn what payers want and are looking for, as well as advice on initial credentialing. We will go over online portals and will have a quick review so that they are processed quickly and effectively. This webinar will go through extensive knowledge and hands-on experience in navigating the intricacies of contract negotiation. This webinar will equip you with the strategies and tools necessary to advocate for fair reimbursement rates while strengthening your relationship with payors. Whether you represent a healthcare facility, medical practice, or other healthcare organization, this webinar will provide you with actionable steps to achieve better financial outcomes.
Nationally recognized healthcare attorney Amanda L. Waesch, will help you with valuable complete and step-by-step process so you can quickly evaluate your third-party payer contracts, identify hidden opportunities, and negotiate to maximize your reimbursements.
Learning Objectives:
- Learn about Credentialing with third party payers and how to best accommodate their requests
- Know the contracting process, what to expect, how to get the best contracts
- Understand the responsibility of both payers and providers
- Understand the compensation and billing, utilization review, records maintenance, liability, dispute resolution, term and termination and general provisions
- Learn how to negotiate the best contracts
- Understand and analyse the contracts thoroughly, understand verbiage, ask for what you want
- Find how to increase your revenue with your current payer mix as well as seeing some out of network patients
Areas Covered in the Session:
- Third party payer credentialing
- Tools and portals
- Credentialing rules and regulations - Federal and State Laws
- Third party payer contracting
- Components of contracts
- Rules and regulations in third party payer contracting
- Contract negotiation
- Best negotiation practices
- Increasing revenue flow
- Live Q&A session
Suggested Attendees:
- Healthcare CEOs, COOs, CFOs
- Practice Administrators
- Compliance Officers
- Healthcare CPAs
- Revenue Cycle Managers
- Billers
- Licensed Providers
- Physicians
- Office Managers
- Billing Staff
- Medical Auditors
- Practice Managers
- Auditors
- Billing Companies
- Clinic Owners
- Chief Quality Officers
- Senior Internal Auditors
- Directors of Compliance
- Regulatory/ Risk Officers
- Government Employees
- General Counsel
- Compliance Attorneys
About the Presenter:
Amanda Waesch has experience of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters.
She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations, Audit, Appeals, and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.
Additional Information:
After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?
No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
Snippet From Our Previous Session:
Related Webinars You May Like:
- ERISA: Stop Payer Recoupment to Protect Your Reimbursement
- 2024 Credentialing & Enrollment Rules: Physicians & Advanced Practice Providers (APPs) Credentialing
Testimonials:
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Melissa Preston, Health Information Management Staff
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Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"
Tina Duffy, Compliance Officer