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      Contract Review & Assessment



      A Managed Care Contract Review focuses on the key language and financial payment issues that must
      be addressed properly to avoid unforeseen reimbursement issues or operational requirements the hospital
      cannot administer.


      KEY BENEFITS

      Prevents reduced net revenue and unresolved conflict with payors which can occur without the appropriate
      contract language and terms.


      Process includes the use of a checklist
      to insure that all key issues are identified
      for potential change along with the provision
      of "best contract counterproposals".

      Process results in the provision of proposed
      language and financial modifications that can be
      electronically pasted to a hospital counteroffer.

      Process takes advantage of seeing the same
      boilerplate proposals from key national payors
      on a regular basis and knowing what areas typically
      can be modified for improvement by a key payor.

      Process often includes initial "counter proposals",
      as well as "backup alternatives" if payor is unresponsive
      to initial proposal.

      Recommendations are prioritized to identify
      those changes with the greatest impact financially
      and otherwise.

      Recommendations include "payment methodologies"
      that protect and positively impact the net revenue
      of the hospital, taking into account its specific services.
      Recommendations will address those items
      that are known to be "reimbursement killers" or
      pose "future risk" for the hospital.

      Recommendations address those contract
      provisions that can not be administered without
      "undue additional cost or complexity".

      Recommendations address ongoing managed
      care issues such as "silent PPO activities", prompt
      pay expectations, as well as emerging issues such
      as "high deductible policies", "discount cards", and
      Medicare Advantage products.

      Recommendations maximize ongoing hospital net
      revenue by leveraging contractual stability needs of the
      network for predictable ongoing increases.


    For more information on QHR Patient Financial Services, contact:
    Devika Kumar, Practice Leader, (800) 233-1470 ext. 4563.

    © 2008 QHR
    105 Continental Place | Brentwood TN 37027 | 1-800-233-1470