Payers don’t want you to know how to get the most out of their contracts. In fact, they are counting on you not knowing. They make the process complex and painful – but it doesn’t have to be.
With a few specific changes to your payer contracting process, you can increase what you are paid, avoid dangerous contract verbiage, get back on plans that have dropped you and know when it’s in your best interest to walk away. And payer contracting experts, Doral Jacobsen MBA, FACMPE and Olga Khabinskay, MBA can show you how during this 3-Part online payer contracting series …
Each of these three trainings walk you through the process step-by-step to ensure you have the tools you need to get the best deal possible. These trainings include:
Part 1: Get Higher-Paying Contracts with Proven Negotiation Strategies Part 2: Terminate Payer Contracts Successfully and Increase Your Payup Part 3: Get Your Patients Back After Payer Drops You from Their Plan
Parts 1 and 2 are available immediately and received a 4 of out 5 ranking from training attendees. Part 3 is being held live on April 6th at 1pm ET, or you can choose to access the information on-demand right after the training.
SAVE 15% INSTANTLY!
Order your 3-Part series in the next 5 days, and you’ll save an additional 15% off the total cost. Discount is already reflected. No code necessary. Or, if you prefer, you can order each session individually at the regular rate. ORDER TODAY!
PART 1: Get Higher-Paying Contracts with
Proven Negotiation Strategies
Available Immediately. Order the On-Demand Recording to Watch at Your Convenience.
Don’t give up on negotiating your under reimbursing contracts due to lack of payer response and progress. You can win the rates you deserve.
Payers are notorious for ignoring negotiation requests and are counting on you to stop trying to improve your contract terms. But renegotiating damaging terms like using outdated fee schedules and confusing termination language isn’t impossible. Payer contracting strategy. Payer Contracting Negotiation and Reimbursement.
There is a way to speak a payer’s language. You can get them to respond to your request and, yes, increase your rates if you know the tips and tricks to get them to work with you and kick start discussions.
This is where payer contract negotiation expert Doral Jacobsen MBA, FACMPE, comes in. Doral will walk you step-by-step through how to build and deploy a successful payer contracting strategy. You’ll get proven communication scripts and even receive a guide to develop your practice’s own value proposition. Armed with these tools you’ll be able to engage payers and secure increased rates in much less time and much more easily.
Here are just some of the proven payer contracting negotiation tactics you’ll learn when you attend this expert-led session:
Create and implement your practice’s negotiation strategy
Proven verbiage that helps you tell your practice story and speed negotiations
Complete a market and provider assessment that shows payers why you deserve more money
Establish a payer proposals process to effectively evaluate offers
Pinpoint the exact questions you must ask during early payer discussions
Identify the precise steps you must take to create your practice’s unique value proposition
Tried ‘n’ true templates that accelerate your work and get results
Tips to convince payers to pay you based on the value your practice provides to the network
More easily navigate the negotiation process
How to speak the payers’ language so you win the terms you need to succeed
Learn how to quantify the value your practice adds
Get your negotiation requests approved using proven post-denial request time frames
Determine how to incorporate administrative burden discussions into your negotiations
Secure higher rates with tips to write results-clinchingpayer proposals
Methods that remove harmful clauses like penalties for non-network providers
Define why you outshine the competition to clinch better coverage
And so much more…
You really can’t afford not to attend this session. COVID-19 has increased your operational expenses – and you deserve to get paid for this added cost. But many insurers refuse to pay the new CPT coronavirus supply code 99072 and your contracts don’t allow you to charge for PPE supplies. During this session, Doral will give you proven communication tools that help payers understand your financial increases – and get them to pay up.
Your practice is depending on you to improve their Medicare and commercial payer reimbursements. By attending this online session covering all insurance negotiations, you’ll be able to confidently spell out your practice’s value and effectively judge insurers’ offers. You’ll finally get the higher rates and better coverage your office needs.
Hurry and register today! Access to this online session is limited to ensure Doral can answer all your payer negotiation questions.
Don’t wait. Sign up today. Payer contracting strategy.
PART 2: Protect Against Lost Revenue When
Terminating Payer Contracts
Available Immediately. Order the On-Demand Recording to Watch at Your Convenience.
Determining if, when and how to terminate a payer contract is no easy task. In fact, that’s exactly the way they want it. Payer contracts are written to be confusing – full of mind-numbing, legalese designed to benefit the payer – NOT YOU.
It certainly doesn’t benefit the payer for you to leave their network. So, they make the termination process as difficult as possible hoping that you’ll stay on board longer. The good news is that with a little advice you can crack through payer contract confusion and take back control of your reimbursements.
This is where payer contracting expert, Doral Jacobsen, MBA, FACMPE, can help. During her 60-minute online training, Doral will show you EXACTLY how to make sure your payer contracts are really working for you. You’ll walk away from this training with a proven formula. And if you do decide to terminate your payer contract, this training will help you avoid the negative financial and legal fallout.
Here are just a few of the proven payer contracting termination strategies you’ll benefit from by attending this expert-led online training session:
Effectively use payer nonperformance when terminated with cause
Accurately calculate the real revenue impact of walking away from a contract
Decipher contract termination requirements that could hurt your practice
Head off legal backlash of mishandling payer notification of your termination
Prevent consequences of writing a noncompliant payer termination letter
Terminate your payer contract when it is best for you, not them
Flip a poorly performing payer contract and make it work for you
Avoid costly contract breach penalties when you do decide to terminate
Uncover hidden contract termination requirements that could come back to bite you
Accurately use your market position and reimbursement to value your contract
Safeguard your practice with 8 must-have elements of a payer termination notification
Implement a simple termination action plan to comply with contract requirements
Correctly calculate the value of your payer contract before you decide to terminate
And much, much more!
REMEMBER: Payer contracts are written to be confusing, and to benefit the payer – NOT YOU. Attend this online training and you’ll learn how to effectively terminate your payer contracts and avoid both legal and financial headaches of doing it wrong.
Payers intentionally make it hard for you to terminate your relationship with them. Their goal is to keep you on board for as long as possible and pay you as little as possible – that is how they make their profits. Breach of contract, unclear termination terms, and confusing notice periods are just a few of the items that can trip up. But you can take back control of your reimbursements.
By attending this upcoming online training you’ll get insider advice on how to end your payer contract when it’s best for you. You’ll receive proven tools that will help you sever ties smoothly and compliantly, and protect you practice from hidden contract termination language that could come back to bite you. Don’t wait, sign up for this online training today.
Added Bonus: Register for this online training, and you will also receive sample contract termination letters that have all of the fields you need to notify your payer of your termination decision. This tool will help you more easily identify the specific termination with- or without-cause information you need to include to streamline your payer contract termination. These proven templates also help you eliminate ambiguity about whether the payer received your notification for timely processing.
*Tool will be included with your presentation handouts.
PART 3: Get Your Patients Back After
Being Dropped by Payor
Available Immediately. Order the On-Demand Recording to Watch at Your Convenience.
Don’t make the mistake of walking away if you get dropped from your insurance panel. You CAN get those patients back, and you don’t have to pay thousands to an attorney to do it.
You may never know why a payor excludes you from seeing their patients. The bottom line is it doesn’t really matter. Once you receive the notification, it’s done. Now, it is up to you to change it. Getting reactivated IS possible when you have a proven strategy in your arsenal.
This is where contracting and credentialing expert, Olga Khabinskay, MBA, COO, can help. Olga will provide you with a proven, step-by-step plan of attack to get you back on an insurance plan after you’ve been excluded. This training will also help take action to head off deactivation in the first place. Payer Contracting Negotiation and Reimbursement.
Below are just a few of the proven payor contract reactivation strategies you’ll receive by attending this expert-led online training:
Determine when provisional enrollment can help you get your patients back
Master deactivation appeal with Medicaid and Medicare managed care
Avoid thousands in legal fees, know when, if ever, to get your attorney involved
Use OPMC cases and your rights after exclusion to get reactivated
Get your payer contract reinstated, even after you’ve missed a revalidation deadline
Stop payer 60 and 90-day contract requirements from taking your patients
Cut through the confusion of the appeals process to get your good standing back
Proven strategies to get you back on an insurance panel and get your patients back
Use multi-state insurance reactivation processes to speed up your appeal
Get your state’s department of insurance to help with your provider rights
Identify simple recredentialing mistakes before they get you excluded
And so much more…
Getting excluded from an insurance plan can happen to anyone (even if you have a perfect license record). But you don’t have to accept their decision. There are specific actions you can take to avoid losing a deactivated plan’s patients. By attending this upcoming online training, you’ll know how to fight back and how to get your contract exclusions overturned.
Don’t wait! Sign up today for this expert-led payor contract reactivation training to secure your access. Attendance is limited to ensure enough time to get your questions answered. Register today to reserve your place.
Parts 1 and 2 received a 4 of out 5 ranking from attendees. Here are just a few of their rave reviews:
“I really liked the efficiency and clear presentation. It helps to know we are not alone and that there are specific things we can do to adjust strategy with payers even if it means potentially terminating.” – Elizabeth Fischer, Naperville Women’s Healthcare
“The speaker was very organized. The presentation flowed smoothly from one subject to the next.”
– Linda Caterina, Business Manager, Institute for Orthopedics & Chiropractic
“The webinar was great and provided a lot of information. Great Job!”
– Tereasha Saunders, Revenue Cycle Manager, The Up Center
100% Satisfaction Guaranteed or a Full Refund.
You take no risk whatsoever. If you find this essential session doesn’t meet your expectations or you are not satisfied for any reason, simply et us know.
Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for “what’s next.” Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle.
She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2019. Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October 2016.
Olga Khabinskay, MBA, is Chief Operating Officer with WCH Service Bureau, a leading medical billing and credentialing company. She has 18 years of frontline experience in provider credentialing, contract negotiations, billing processes and medical practice operations. Olga has a mastery of state and federal regulations and uses her expertise to help providers ethically optimize their compliance and reimbursements.
Olga is a member of the American Medical Billing Association (AMBA), American Health Information Management Association (AHIMA), American Association of Professional Coders (AAPC), Professional Association of Healthcare Office Management (PAHCOM) and Health Care Compliance Association (HCCA). She graduated with a B.A. from Adelphi University and has her Master’s in healthcare management.
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.
