BC Advantage - 2010 Issue 6

Manage Your Payer Contracts to Optimize Collections

Could you be receiving underpayments from as many as 40% of your payers? It's possible. Underpayments are among the major challenges hospitals face today, whether the result of complex or ambiguous contracts, inadequate information systems, or other contributing factors. In this edition of Insights, we will discuss steps you can take to position your hospital or health system to better manage your payers, instead of allowing the payers to manage you. We'll note some of the issues associated with problematic contracts, and we'll offer suggestions to help you negotiate realistic contracts that can be utilized to confirm payment accuracy...

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