Students with laptop computers are welcome to bring them to class to work hands-on as these techniques are demonstrated in class. These tools will then be take-home tools for use in future contract review:

·        A custom macro to identify more than 150 words and phrases in contracts that are 
    guaranteed to cause trouble (included)

·        Learn to build an auto text Library that you can use with MS Word®

·        Learn to build a custom contract analysis toolbar in MS Word®

·        Learn to hyperlink your contract terms to your checklist (go paperless!)

·        Two complete checklists for contracting that you can print and use immediately after
     class

·        A sample managed care language library of frequently encountered terms and
     conditions

·        Thirty-six sample business rules you can use to build a contracting strategy

·        Template letters for denials and appeals

·        A directory of free Internet resources that make contracting  easier

·        State-by-state COB rules directory

·        State-by-state medical records copy fee laws directory

·        State-by-state medical necessity laws directory

·        Rate negotiation checklist to benchmark contract offers

·        Sample single case agreements for use instead of fax templates

We'll go through various paragraphs in typical managed care contracts currently seen throughout the nation and examine the perils and pitfalls of just signing on the dotted line. Practicable solutions will be offered, as well as a technique to address negotiation jitters through non-confrontational methods of negotiation. We will learn to identify and dismantle the vagueness of complex managed care contracts with many of the classic and not so classic problem terms and conditions frequently encountered in HMO, PPO, Silent PPO, and other managed care agreements. Upon completion, you will feel more adept at the conversion of the boilerplate terms into clearly negotiated objectives, expectations, and measurable actions.

Course level:  Intermediate to advanced.

(Classes are limited to 8 participants for this intense workshop.) 

Designed for those who regularly analyze and negotiate managed care agreements.

·         Managed Care Analysts and Negotiators

·         Revenue Integrity Managers

·         Hospital Contracting and Revenue Cycle

·         Denials and Appeals Specialists

·         Physician Contracting Specialists

·         Consultants and Accountants

·         Hospital CFOs

·         Marketing and Business Development

·         Medical Practice Managers

·         Home Health Contractors

·         Mental Health Group Administrators

·         Dialysis Center Administrators

·         Pharmaceutical and Device Manufacturers

·         Physician Leadership

·         ACO, IPA, PHO, and MSO Executives

·         Physical Therapy Clinic Managers 

AskMariaTodd at The Managed Care Institute 

600 17th Street Suite 2800 South
Denver, CO 80202 USA

1-800-209-7263
9:00am-4:30pm 

Hotel accommodations, airfare, and ground transportation are the responsibility of the registrant.

No registrations will be accepted at the door due to seating capacity.

Maria K. Todd, MHA PhD is globally recognized as one of the most knowledgeable and prominent thought leaders in the managed care medical tourism and global healthcare administration arena. A reimbursement expert, industry analyst, and visionary, Maria Todd has influenced the effects of globally integrated healthcare on the convergence of contracted reimbursement, marketing, communication, traditional healthcare delivery, and reimbursement.

She is CEO of Mercury Healthcare, a globally integrated provider network headquartered in Denver, Colorado,  and has led health delivery and reimbursement strategies for Fortune 500 companies, governments, and medical tourism startups. She is the author of nine books on healthcare reimbursement, contracting, and medical tourism business administration. She is frequently invited to speak at provider, insurer, employer, and trade association conferences on global health and medical tourism initiatives, strategy, and international hospital accreditation. Maria Todd manages the Managed Care Contracting group on LinkedIn^® with more than 1,500 members. She is an advanced member of the Healthcare Financial Management Association (HFMA), the American Association of Integrated Health Delivery Systems (AAIHDS), America’s Health Insurance Plans (AHIP), the Medical Group Management Association (MGMA), and is on the board of directors of several global nonprofit organizations and US corporations. She also serves as the president of the Council on the Global Integration of Healthcare.