Payer-provider disputes from the provider perspective / Mackenzie Wallace. Medicare reimbursement of physicians and other types of providers / JoAnna Younts-- Commercial health insurance plans and networks / JoAnna Younts -- Commercial payer contracting and reimbursement / JoAnna Younts -- Contracting, reimbursement, and compliance : health plan perspective / Frank Stevens -- Contracting, reimbursement, and compliance : provider perspective / Frank Stevens -- Setting the stage for payer-provider disputes / Steven Hamilton -- Payer-provider disputes from the payer perspective / Steven Hamilton -- Payer-provider disputes from the provider perspective / Mackenzie Wallace.
Summary:
"This book provides a detailed historical account of Medicare reimbursement and payment approaches used across nearly all provider types, along with a practical discussion of commercial payer contracting and payment strategies. It then concludes with a deep dive into the legal issues that arise in payer-provider disputes, including the most common issues and case examples"-- Provided by publisher.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.