Payment Reimbursement and Managed Care
Payment & Reimbursement Forum Ask the Experts Answers
October 17, 2012
5:10 pm
An archive of Payment and Reimbursement Forum Ask the Experts Q&As
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Q&A Archive
Alternative Payment Models
- Bundled Payment Start Date and Allocation (August 2018)
- Bundled Payment Contracts (August 2016)
CDM, Charge Capture, Coding
- Observation Status (May 2017)
Chargemaster
- Chargemaster Updates (July 2017)
Denials Management
- Denial Contract Language (April 2018)
Financial Assistance
- Presumptive Eligibility (July 2018)
Healthcare Payment Reform
- Payment Adjustments and Meaningful Use (November 2016)
Managed Care
- Contract performance (May 2019)
- Provider Level Adjustments (February 2019)
- Patient Payment Plan Structures (January 2019)
- Data for Health Plan Negotiations (November 2018)
- Lesser-Than Provisions (October 2018)
- Calculating Contract DRGs (May 2018)
- Resolving Health Plan Disputes (August 2017)
- Managed Care Contracting Benchmarks (July 2017)
- Managing Health Plan Overpayments (April 2017)
- Contracting with Small Health Plans (April 2017)
- Out-of-Network Payments (October 2016)
- Multiple-Procedure Discounting (January 2015)
Medicaid
- SSI percentage and eligibility (April 2019)
- Medicaid Billing (May 2017)
Medicare Payment
- Medicare Small Balance Payments (April 2018)
- Medicare Adjustments During Appeals (February 2018)
- Non-Contracted Insurer Payment Rates (January 2016)
Payer Trends
- Payer Preference for Imaging Centers (October 2017)
- Payer Payments (February 2017)
- Payers Linking Cancellations of Separate Contracts (April 2016)
Pricing and Charges
- Cost per day (April 2019)
- Cost Report for Cardiac Rehab Services (November 2017)
