Managed Care Contracting: A Strategic & Practical Approach

  • 17 Feb 2021
  • 12:00 PM - 1:00 PM
  • NO COST ONLINE WEBINAR

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Date:  Wednesday, February 17, 2021
Time:  12 Noon - 1:00 PM 

NO COST ONLINE WEBINAR - LIMITED TO 100 REGISTRANTS
Open to Members, Guests and everyone interested in this topic. 

"Managed Care Contracting: A Strategic & Practical Approach to Managed Care Contracting & Negotiations for Optimal Outcomes"

ACTION ITEM - REGISTRANTS:
TAKE THE SELF-ASSESSMENT SURVEY TO PREPARE FOR THIS EVENT: 
Survey Link: 
 
Third Party Payor Contract Management Self Assessment Survey.pdf

Send survey results to:  ejgarten@embarqmail.com 

                             

                      Richelle Marting         Jean Garten, JG Consulting
                    JD, MSHA, RHIA, CPC 

To negotiate a successful contract, providers must understand attributes of their practice and key contracting terminology before productive discussions can begin with a third party payor. This session allows attendees to assess their own strengths and weaknesses in their internal contracting processes. Attendees will be able to apply objective criteria to evaluate their contracts and understand how to use data to identify points for negotiation of their agreements. Attendees will also learn what to expect in the negotiation process and strategies to achieve the results they desire.

Objectives:
To identify contract improvement opportunities through a self-assessment revealing areas of strength and weakness. 
To better understand what it takes for successful contract management and negotiations including, but not limited to the following:

  • Managed Care Strategy – analyzing your baseline and determining reimbursement and market share requirements
  • Contract documentation and inventory of key contract language
  • Payor engagement and negotiation strategy including analysis of proposals
  • Denial management
  • Payor policy management
  • On-going negotiations and process improvement activities to insure maximum reimbursements into the future

NEW Online Webinar Access Link:  Limited to 100 Registrants
Topic: MGMA (JG Consulting) - Managed Care Contracting: A Strategic & Practical Approach - Time: Feb 17, 2021 12:00 PM Central Time (US and Canada)

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Meeting ID: 923 4373 7747
Passcode: 754732

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Register for webinar at: 
https://gkcmgma.wildapricot.org/event-3863963

BIOS:
Richelle Marting is an attorney, registered health information administrator, and certified coder who focuses on healthcare coding, billing, and reimbursement issues. She has practical, in-the-trenches experience with coding and billing issues. She has served as an outpatient multi-specialty surgery coder, hospital-based outpatient coder and a compliance coordinator for a large multi-specialty medical group. As an attorney she advises clients proactively on complex reimbursement questions and has guided multiple clients through extensive Medicare and OIG audits and investigations. Important to today’s topic, Richelle successfully assists providers with third party commercial payor audits and has a strong track record of drastic reductions in alleged overpayments.

Jean Garten has more than 30 years of experience, holding leadership positions in hospitals, healthcare systems, performance improvement companies and a for-profit national managed care company. She established JG Consulting in 2011 and has since served over 100 hospitals and physician groups in various capacities throughout Kansas, Missouri, Texas, Oklahoma, and Alaska.  Jean Garten has a master’s degree in healthcare administration from the University of Minnesota and is a Fellow in the American College of Healthcare Executives.  She has been a member of the American College of Healthcare Executives since 1985 and a fellow since 1996.

Sponsored by       
       JD
Consulting
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