Managed Care Contracting Corner with Maria Todd
Update: 2010-10-12
Description
Each week, Maria Todd discusses another topic on managed care contracting.
The information and techniques provided in this class comes from Maria's experience of more than 30 years in managed care contracting, work as a hospital administrator, group practice administrator, IPA executive director and revenue cycle manager (operations), and a national HMO provider relations coordinator (the "insider" aspect of contracting with health plans). It also has strong overtones from her work as a health law paralegal (research and due diligence process) and her work as a certified mediator (negotiation techniques) of managed care disputes.
Mixed into this, she also brings her understanding of the realities of reimbursement for high-quality care delivery from her days on the clinical side of health care and how it relates to medical necessity appeals, denials management and the realities of evidence-based medicine programs.
The information and techniques provided in this class comes from Maria's experience of more than 30 years in managed care contracting, work as a hospital administrator, group practice administrator, IPA executive director and revenue cycle manager (operations), and a national HMO provider relations coordinator (the "insider" aspect of contracting with health plans). It also has strong overtones from her work as a health law paralegal (research and due diligence process) and her work as a certified mediator (negotiation techniques) of managed care disputes.
Mixed into this, she also brings her understanding of the realities of reimbursement for high-quality care delivery from her days on the clinical side of health care and how it relates to medical necessity appeals, denials management and the realities of evidence-based medicine programs.
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