We at Healthcare Information Services (HIS) would like our clients to be aware of the new Managed Care/Commercial Insurance Contract Evaluation Guidelines, published by the American College of Radiology (ACR) and the Radiology Business Management Association (RBMA), and how they may affect you. These guidelines are intended to make it easier for all sides to evaluate and negotiate managed care contracts involving radiology or radiation oncology. The guidelines contain definitions and strategies for negotiating and implementing managed care contracts.
To facilitate contract negotiations, the new guidelines defines terms that may be used frequently when discussing managed care. These include such things as:
These guidelines lay out area that should be covered by the contract as well as explanations as to why it is necessary to ensure that the terms of these areas of discussion are clearly defined and agreed to. Some of the areas discussed are;
How HIS Can Help
HIS can make dealing with and understanding the new guidelines a whole lot easier for you. We are committed to being a leader in revenue cycle management, billing service and consulting for the healthcare industry.
We at HIS understand that your first priority must be the welfare of your patients but that sometimes this may lead to a lack of attention being paid to the business side of your radiology practice. HIS ensures you regular and correct payments from Medicare and other third party insurance companies.
Everybody wins when you let us at HIS handle the intricacies of your billing procedures and your bottom line. Contact one of our Healthcare Information Services representatives today and see how we can keep the business side of your radiology practice happy and healthy too.
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