Navigating payment pitfalls in managed care.
Healthcare providers need to identify and address payment problems relating to denied or underpaid claims. Before contract renegotiation, providers should identify the total dollar amount of claims that are denied or underpaid for each payer. Providers should choose managed care contract information systems that can grow with the hospital's managed care volume. Providers should identify all underpayment problems before negotiating a settlement with a payer.
Phillips
Bill
B
Managed Care Recovery Corp., Fort Lauderdale, Fla., USA. billinfll@juno.com
D000067:Accounts Payable and Receivable; D003284:Contract Services / Q000458:organization & administration*; D005377:Financial Management, Hospital / Q000379:methods*; D006751:Hospital Information Systems; D007345:Insurance Claim Review; D007349:Insurance, Health, Reimbursement; D008329:Managed Care Programs / Q000191:economics*; D014481:United States