Noyes Penny
Health Business Navigators, 1711 Destiny Lane, Suite 101, Bowling Green, KY 42104, USA.
J Med Pract Manage. 2008 Sep-Oct;24(2):105-10.
You've negotiated new rates with your payors and think it is time to celebrate. But wait, there is another step in the renegotiation process that protects the rates and alleviates some of the confusion about administrative issues. Among the contractual provisions discussed in this article are timely payment, timely submission, retroactive eligibility denials, assignment of the agreement to parties that are vaguely defined "affiliates," and offsets on future payments. These changes are essential to protecting your practice against unfavorable provisions that, left unchanged, put the payors in the driver's seat to decide the rules.
你已与付款方协商好新的费率，觉得是时候庆祝一下了。但是等等，重新协商过程中还有另一个步骤，它能保护这些费率，并减少一些行政问题上的混乱。本文讨论的合同条款包括及时付款、及时提交、追溯性资格拒绝、将协议转让给定义模糊的“关联方”以及对未来付款的抵消。这些变更对于保护你的业务免受不利条款影响至关重要，若不改变，这些不利条款会让付款方掌控规则制定权。
