Managed Care Contracts: Proven Language to Get Paid More

Length: 60 Minutes Expert: Michael R. Lowe, Esq.

You have more control over the terms of your managed care contracts than you realize (including how much reimbursement you receive).

Managed Care Contract Language

It doesn’t matter if you’re negotiating with a payer for the first time, or trying to modify an existing agreement, it all comes down to the same thing – the language in your contract. Remember, your managed care contracts are written with the best interest of the payer in mind. So, unless you know what language to look for, deciphering the pages and pages of legalese can seem impossible.

Sometimes one simple change to the language in your managed care contracts can significantly increase your patient referrals and reimbursement, but you have to know what changed.

Maximize Managed Care Contract Terms

This is where healthcare attorney Michael R. Lowe, Esq., can help. During his 60-minute online training, he’ll provide you with valuable takeaways and a step-by-step process so you can quickly evaluate your payer contracts, identify hidden opportunities, and negotiate to maximize your reimbursements.

By attending this 60-minute online training, you’ll learn a myriad of tips about negotiating your managed care contracts, including how to:

  • Write a market and provider assessment that shows payers why you deserve more money
  • Pinpoint the exact questions you must ask during early payer discussions
  • How to speak the payers’ language so you win the terms you need to succeed
  • Understand and eliminate unilateral amendment provisions
  • Take control of reimbursement language to get paid more
  • Optimize counter offers with proven evaluation strategies
  • Compare your payer contracts and use the results to negotiate better rates
  • Uncover silent PPO provision contract language that can hurt your practice
  • Draft a more powerful proposal letter to give you a negotiation advantage
  • Make sure your contract includes all necessary schedules and exhibits
  • Address covered and non‐covered services provisions for maximum clarity and protection
  • Determine how to incorporate administrative burden discussions into your negotiations
  • Identify hidden opportunities and threats in your contracts
  • Remove harmful clauses like penalties for non‐network providers
  • And so much more …

Knowing how you can get the highest return from these contracts is essential to your practice’s success, especially when you consider that about half of your revenue is most likely tied to your commercial payer contract fee schedules. Do it right, and you can see significant financial increases to your bottom line. Do it wrong, and you’ll be left getting paid pennies on the dollar, or worse, providing your services for free.

Make Your Managed Care Contract Work for You

By attending this 60-minute online training, you’ll receive proven, actionable takeaways to help you more confidently and successfully make the language in your managed care contracts work for you. Ultimately, this training will provide you with the tools you need to have the upper hand to help you get paid more of what you’re due for the services you provide.

Take control of how you’re paid by signing up for this online managed care contract training session. Don’t leave your contract reviews to chance — sign up today!

Meet Your Expert

Michael R. Lowe
Esq.Managing Partner of Lowe & Evander, P.A.

Michael is board certified in health care law by The Florida Bar. As Managing Partner of Lowe & Evander, P.A., his practice focuses on all aspects of business, corporate, transactional, litigation, regulatory, operational, and administrative matters in the health care law arena.

Emphasizing the representation of physicians and physician group practices, Michael regularly represents clients in litigation, medical records, and HIPAA privacy regulations issues, managed care contracting and reimbursement matters, the preparation, review, and negotiation of physician employment agreements, Medicare/Medicaid fraud and abuse prevention, federal Stark Law matters and analysis, defense and reimbursement issues, ACA matters, medical staff privilege cases, professional licensure and disciplinary actions, voluntary self-disclosure cases, physician-hospital contracts, compliance plan development, and health care regulatory analysis and counseling matters.

Michael’s practice areas also include the representation of hospital medical staff, IPAs, ambulatory surgery centers, durable medical equipment providers, diagnostic imaging centers, hospitals, long-term care facilities, and other health care professionals and providers.