C58 - Business Strategies for Payer Negotiations and/or How to Go off the Grid

Event Time: Sunday May 5, 2019 1:00 pm to 3:00 pm
Topic(s): Practice, Policy, and Ethics, Academic, Career Essentials, Business of Neurology
Director(s): Joseph Fritz PhD
Description: Neurology practices struggle with shrinking reimbursements and payer policies that add to practice overhead and lead to provider burnout. Increasingly, physicians are being measured for quality, utilization and cost, and their value questioned when payer data analytics indicate poor performance compared to peers. This course will help neurologists improve documentation and ability to produce compelling analytics that demonstrate their value in the eye of the payer and improve the ability to negotiate in a fee-for-service environment. Benefits may be improved fee schedule, reduced prior authorization burden, network inclusion, and maintaining referral patterns from primary care physicians that increasingly must pay attention to the value of referred services. Alternative payment models have become preferred approaches by payers to share risks with providers. Thi