Managing Payor Rates
Additional Resources:
Spreadsheets:
Simple tracking sheet to assist practices in monitoring overall financial activity and collection ratios by payor.
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Useful spreadsheet to monitor payment rates for the most frequently used CPT codes in pediatric practices, categorized by payor.
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Spreadsheet to assist pediatric practices in comparing the actual payments received from MCOs to determine which payor(s) are paying less than others.
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Spreadsheet to assist practices in comparing the total anticipated revenue based on CPT volume by payor.
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Spreadsheet designed to assist pediatric practices in evaluating the financial implications of proposed fee schedule adjustments.
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Spreadsheet designed to help pediatric practices keep a detailed and comprehensive comparison, by payor, of key terms in MCO contracts.
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NJAAP Pediatric Practice Management Presentation
The Most Common Issues Pediatric Practices Should Address presented by Paulie Vanchiere
Spend A Day Coding With A Pediatrician presented by Richard Lander
Where Is Your Practice Losing Money presented by Chip Hart
MCO Negotiation Presentation At PCC UC:
Getting Your Data Ducks In A Row presented by Chip Hart
Finally At The Table: Managing Contract Negotiations presented by Susanne Morgana-Brennan (Formerly Madden)
Understanding Business Implications: Navigating Possible Outcomes presented by Paulie Vanchiere
Practice Manager's Perspective presented by Kimberly Brennan: