Textbook of Urgent Care Management, Chapter 22

Chapter 22 includes: Preparation for Contracting - Gather Information About the Health Plan, Payment Methods, and Reputation - Be Familiar With the Various Payment Models - Establish Center Objectives and Determine Leverage in the Marketplace Contract Review and Establishing Action Points - Affiliates - Arbitration - Capitation and Carve-Outs - Clean Claims and Claims Provisions - Covered Services - Credentialing, Eligibility and Verification - Evergreen and Renewal Provisions - Indemnification and Mutual Liability - Medically Necessity - New Plans and Product Lines - Policies, Procedures and Obligations - Professional Liability Coverage - Termination Without Cause - Unilateral Modifications - Negotiation Contract Follow-up