10 steps toward ED profitability.
Ten contract issues that all hospital EDs should address in their pro-fee contracts are: A prudent layperson definition of an emergency. Covered services/medical necessity. Assignment of benefits. Credentialing/ enrollment. Prompt payment for services. CPT coding guidelines. Claim submission parameters. Contract assignment. Payment rates. Term and termination.
Medical Management Professionals, Bala Cynwyd, PA, USA. jholstein@hbr-inc.com
John G
JG
Holstein
D032982:Contracts / Q000191:economics; D017598:Efficiency, Organizational / Q000191:economics*; D004636:Emergency Service, Hospital / Q000191:economics*; D017408:Guidelines as Topic; D014481:United States