Tactics for thwarting silent PPO activity.
Silent payers can be difficult to detect, and their payment practices can drastically affect a hospital's bottom line. An audit approach to payment problems can uncover silent PPO activity. Information from the audit can be used to negotiate a settlement for the unpaid amount. Contracts with payers should include specific language that protects against silent PPO activity.
Messinger
Steve
S
ECG Management Consultants, Arlington, Va., USA.
Welter
Terri
T
D032982:Contracts; D005245:Fee Schedules; D005375:Financial Audit; D005377:Financial Management, Hospital / Q000379:methods*; D005607:Fraud / Q000191:economics; D007196:Indiana; D011243:Preferred Provider Organizations / Q000191:economics* / Q000331:legislation & jurisprudence; D012051:Reimbursement Mechanisms; D014481:United States