Auditing Payer Contracts for Payment Accuracy

Understanding, Auditing, and Renegotiating Payer Contracts

Managing payor contracts is one of the primary challenges that every healthcare provider faces. From changing reimbursement to network irregularities, clauses and understanding fine print, contracting can be a painful part of practicing medicine. Declining income and increasing workload is at the forefront of most medical practices’ minds. Understanding and auditing your current payer contracts is imperative to a successful profitable business.
 
When reviewing contracts, do you know what to look for? What verbiage to be wary of? Do you know your contract renewal date? All of these are important and significant items that need to be addressed.
 
Renegotiating contracts, although sometimes time consuming, can be worth the effort and can bring new markets to your practice.
 
Join this webinar and let our expert speaker, Stephanie Thomas walk you through each part of a payor contract, how to understand and utilize this information to be sure you're being paid correctly, auditing for hidden clauses, and renew/analyze data for potential renegotiation.

Webinar Objectives

• Low reimbursement
• Incorrect denials
• Wrong timely filing limits
• Network level/tier payment confusion
• Evergreen contracts
• Incentives
• Capitated payments
• Fee for service payments
• Retro-denial/ retraction of payments

Webinar Highlights

• Understanding payor contracts
• How to analyze real data – visit based
• Properly identify payor matrix
• Auditing Explanation of Benefits
• How to renegotiate successfully

Who Should Attend

• Any Medical Practice