Challenges With ASC Contracting Vs. Out Of Network(OON) Billing
This session will discover top trends ASC (Ambulatory Surgical Center) facilities are facing with contracting with Medicare and third-party payers. Participants will learn to weigh the pros and cons of contracting, in order to decide whether out of network billing is the best route for your business. The expert speaker Stephanie Thomas will also give you tips and tricks which will help you ensure that your negotiations are successful. Session Objectives: Participants will be able to: Understand the importance of risk and cost to payers during the contracting process Understand what payers look for, and how to effectively communicate with them Tips and tricks for billing out of network and why this may be the best option for your bottom line Learn how to read contracts and understand what your rights are for renewals Feel confident when making a submission for a new contract Know the length of time to expect for contracting What data is important to submit with your request Understand specific contract terms to watch for Know how to prove value to the payer Know how to negotiate “carve-outs” Know how to terminate a contract
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