An Introduction to Contract Management

Learn the basics of managed care contracting, including criteria-based contracting and how to monitor contract compliance.

Estimated course completion time: 1 hour and 30 minutes

Credit Contact Hours:1.5

Tag(s) (CL) - Experienced Professional, (CL) - Mid-Senior, Contracting, (DM) - Self Study, (ST) - Managed Care, (ST) - Health Plan Payment and Reimbursement, (ST) - Payment Reimbursement and Managed Care, (ST) - Physician Group Revenue Cycle, (PL) - Advanced, (RF) - Payer Contracting, (RF) - Managed Care, (RF) - Claims, (RF) - Physician Practice, (RF) - Reimbursement, (RF) - Revenue Cycle, (AD) - Hospitals and Other Providers, (AD) - Physicians and Other Practitioners

Description

Identify the purpose of a contract.
Identify key components and common terms of a contract.
Identify key components and common terms of a health plan/payer contract.
Define criteria-based contracting and recognize an evaluation model.
Identify elements to monitor for contract compliance during the contract term, at renewal, or when problems arise with the current contractor.