#contract_negotiations

[tsportsday]

Juan Soto talks extension negotiations with Yankees: 'They know ... who to talk to' Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement

[paulslinkard-blog]

How to Negotiate on Out of Network Claims

Getting paid on Out of Network claims (OON) is one of the greater difficulties every healthcare service provider face. And if the regular roadblocks were already not enough, the payers are now continually pushing to constrain OON reimbursement rates. You need to improve the bottom line, which can only be achieved by maximizing reimbursements and minimizing denials.

Participant will be able to learn:

How to identify specific pros and cons of an out of network situations

How to work with patients so they understand their benefits

Review of contract verbiage and guidelines and what they really mean

How to get patients to pay their portion with ease.

Follow up of claims with ease as you will learn how to be extra aggressive with payers to get the results you need.

Be comfortable with appealing claims and proving medical necessity for claims.

Top 10 tricks to ensure you are paid appropriately out of network

Session Agenda:

Verification of out of network benefits

Denials for OON

Appeals for OON

Benefit investigation and authorization

Billing rules for OON

Contracts for OON

Payers to avoid

Financial Agreements

Authorizations

Patient Cost Sharing

Contract Negotiations

In network vs Out of Network

Visit skillacquire to book webinar

About the Presenter:

Stephanie Thomas, CPC, CANPC has a widespread background in medical billing, internal audit and health care administration. She is a Certified Professional Coder as well as a Certified Anesthesia and Pain Coder. Stephanie’s combination of clinical experience, coding education and revenue cycle management offer insights that speak well to both the clinician and the revenue cycle expert.  Stephanie’s experience includes working in large and small private practices, ambulatory surgery centers as well as with hospital-based physicians. She is responsible for proposing, budgeting, staffing, leading and conducting various compliance and internal reviews. Stephanie is currently a member of the American Academy of Professional Coder’s (AAPC) and Society for Pain Practice Management (SPPM). She speaks nationally on billing and compliance topics regularly and has nearly 20 years of experience in this field.

[tsportsday]

Juan Soto talks extension negotiations with Yankees: 'They know who to call' Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement Advertisement

[tsportsday]

Juan Soto made his public debut as a New York Yankee Tuesday and addressed the hottest topic at hand.Will he or won't he sign an extension with the Yankees after joining the team last week via trade from the San Diego Padres? He didn't have an answer, of course. He instead put the ball in the Yankees' court when asked if he's open to discussing an extension with his new team."On any contract stuff, they know where to call and who to talk to," Soto said. "I'm here just to play baseball.""Where to call and who to talk to" presumably refers to his agent Scott Boras. Boras was on the video call, but didn't address the subject. Nobody was there Tuesday to open contract negotiations in public.Soto, meanwhile reiterated that his priority is all things baseball including getting to know his new team."My priority right now is just to get to know the team and get to know the guys, really," Soto said. "Going to the team to New York to Tampa, wherever I'm gonna meet those guys and try to get a good relationship, try to really stick together, get to know those guys and push and try to get the same goal."Is Juan Soto one-and-done in New York or will he sign an extension? (Tommy Gilligan/Reuters)Any answer on a contract extension isn't likely to come soon. Soto's not even acclimated with his pending new surroundings. But the floor on an extension is set. Soto's going to demand a lucrative long-term deal wherever he eventually signs long-term.Soto's reportedly expected to command $33 million for the 2024 season in his final season of arbitration of eligibility. After that, he'll hit the market as an unrestricted free agent if he doesn't sign a long-term extension with New York.He's previously turned down eye-popping money. Before being traded to the Padres, Soto reportedly rejected a 15-year, $440 million offer from the Washington Nationals in 2021. Those failed talks facilitated his trade to San Diego and ultimately led to his landing in New York. Don't expect Soto to entertain anything that doesn't exceed that number.The market's only gone up since then. See Shohei Ohtani's 10-year, $700 million deal with the Los Angeles Dodgers. Thanks to that deal's unprecedented referrals, it's not really worth $700 million. Ohtani won't see $680 million of his salary until after the conclusion of the contract in 2034, and the payments will reportedly be made without interest. But it's still a remarkable sum of money and good news for Soto in his negotiations.Soto's not likely to command the same sum as Ohtani, but somewhere between the rejected Nationals offer and Ohtani's deal is a good place to start. If he and Boras don't like what the Yankees have to eventually offer, they'd surely be more than happy to test the open market.