(2020 AM) 301. Negotiating for Success: Key Strategies for Favorable Payer Contracts is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
As the transition of patients from the acute-care setting to community-based providers happens more quickly, achieving successful payer-provider relationships is increasingly important for home health and hospice providers as they negotiate contracts. The increasingly thin margins in Medicare reimbursement and the continued transition from fee-for-service to Medicare Advantage pressures providers to be cognizant of all contracts and relationships. Negotiating the best payer contract terms requires a significant amount of preparation, negotiation strategies, and resources. This session will examine fee schedule amendments, lesser of billed charges vs. contracted rates, term and termination without cause, claims payments, timely billing requirements, and retrospective reviews to prepare providers for negotiating the best payer contract terms possible.
Learning Objectives:
- Create internal and external payer relationships;
- Discuss game plans and strategies to prepare for payer contract negotiations;
- Outline payer market analyses and payer reimbursement performance comparisons.
Faculty:
Michael Puskarich, MBA