Congress hasn't made it any easier to maximize revenue for your ambulatory surgery center (ASC). With a freeze on Centers for Medicare & Medicaid Services (CMS) payments to ASCs until the end of the decade, it's more important than ever to develop the necessary skills for successful managed care contracting.
Give Your Managed Care Contracting Background a "Leg-up"
Managed Care & Ambulatory Surgery: Strategies for Contract Negotiation and Reimbursement gives ASC administrators, physician-owners, and office managers the how-to advice they need on the tricky art of managed care contracting. Complete with helpful sample policies and forms, this resource is the
only book available that deals specifically with managed care contracting for ASCs.
We Tell You More Than How to Negotiate Your Contracts
We tell you how to get paid.
Managed Care & Ambulatory Surgery offers
billing and reimbursement advice, including dos and don'ts to speed reimbursement and 10 tips for hiring and overseeing your billing company.
A Resource That Will Pay For Itself Again and Again
Managed Care & Ambulatory Surgery will save you money when you consider the excessive fees associated with outsourcing your contracting duties and hiring consultants and attorneys. Information in Plain English, Reviewed by Experts in the Field
This book is written in an easy-to-understand style that will benefit any administrator or person in charge of managed care contracting. It was reviewed by experts Jerry W. Henderson, RN, CNOR, CASC, and Dawn Q. McLane, RN, MSA, CASC, CNOR, to ensure accuracy and relevancy.
Table of Contents
Chapter 1: Tips For Negotiations - Two ways to decide which managed care plans are right for you
Chapter 2: Legal Issues - Don't let plans force you to litigate out of state
- Don't bill members for fees that aren't their responsibility
Chapter 3: How to Get Paid/Save Money - Getting interest on late payments
- Save big bucks by using check sheets to detect HMO underpayments
Chapter 4: Setting Timelines/Time Management Chapter 5: Handling Disputes - Restoring right to dispute small payment mistakes
- Use incident report to resolve problems with payors
Chapter 6: Coding, Billing, and Documentation Tips
- Audit your claims regularly to pinpoint documentation and billing problems
- Checklist: Top 10 items to include in your facility's coding and compliance library
- Reimbursement tips: Follow six dos and don'ts to speed reimbursement
- 10 tips for hiring and overseeing your billing company
Chapter 7: Medicare Reimbursement Guidelines to Maximize Your Cashflow - Take the right steps if Medicare overpays your ASC for multiple procedures
Chapter 8: Reimbursement Guidelines to Live By - Get paid for nonreimbursable procedures performed in your ASC
- Get paid: Send tough warning package to payor to speed claims processing
All You Need to Know to Level Your Negotiation "Playing Field"
With tips on negotiations and legal challenges to guidance on setting timelines, time management, and handling disputes,
Managed Care & Ambulatory Surgery: Strategies for Contract Negotiation and Reimbursement will prepare you for the negotiation table.
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
