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MANAGED CARE CONTRACTINGProvided By: GEMS Physician Practice Advocacy Committee Contract Education Task ForceMANAGED CARE Toolkit are pleased to be able to provide you with tools to aid in contract
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How to fill out managed care contracting template

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How to fill out managed care contracting

01
Gather all necessary documentation such as provider agreement templates, fee schedules, and credentialing information.
02
Research and identify potential managed care organizations (MCOs) that fit your practice's needs.
03
Reach out to the selected MCOs to express your interest in contracting and request their provider enrollment application.
04
Carefully review the provider enrollment application and fill it out accurately and completely.
05
Ensure that all required supporting documents and attachments are included with the application.
06
Submit the completed application and supporting documentation to the MCO following their specified submission process.
07
Follow up with the MCO to confirm receipt of your application and inquire about any additional steps or requirements.
08
Be prepared to negotiate contract terms and reimbursement rates with the MCO if necessary.
09
Review the proposed contract thoroughly, paying close attention to terms, payment arrangements, and termination clauses.
10
Consult with legal counsel or a healthcare consultant if needed to ensure the contract aligns with your practice's goals and objectives.
11
Once both parties agree to the terms, sign the contract and submit it to the MCO.
12
Maintain open communication with the MCO throughout the process and promptly respond to any requests for additional information.
13
Keep copies of all contracts and related documents for your records and future reference.
14
Regularly review and update your managed care contracts as needed to adapt to changes in your practice or the healthcare industry.

Who needs managed care contracting?

01
Healthcare providers such as physicians, hospitals, clinics, and other healthcare organizations who want to participate in managed care networks.
02
Healthcare practitioners looking to expand their patient base and increase their revenue streams.
03
Organizations seeking to improve coordination and integration of care by partnering with managed care organizations.
04
Providers looking for opportunities to tap into a larger pool of insured patients and benefit from negotiated reimbursement rates.
05
Healthcare professionals aiming to streamline administrative processes and reduce paperwork through standardized contract agreements.

What is MANAGED CARE CONTRACTING Form?

The MANAGED CARE CONTRACTING is a writable document needed to be submitted to the relevant address to provide some info. It has to be completed and signed, which is possible manually in hard copy, or with a particular software such as PDFfiller. This tool lets you fill out any PDF or Word document directly in your browser, customize it depending on your purposes and put a legally-binding e-signature. Once after completion, user can easily send the MANAGED CARE CONTRACTING to the relevant receiver, or multiple individuals via email or fax. The template is printable too due to PDFfiller feature and options offered for printing out adjustment. Both in electronic and in hard copy, your form will have a neat and professional look. Also you can save it as the template for further use, without creating a new blank form over and over. All you need to do is to customize the ready template.

MANAGED CARE CONTRACTING template instructions

Before to fill out MANAGED CARE CONTRACTING Word template, remember to have prepared enough of necessary information. That's a mandatory part, as long as some errors can cause unpleasant consequences from re-submission of the whole entire and completing with deadlines missed and even penalties. You need to be observative when writing down figures. At first glimpse, it might seem to be very simple. But nevertheless, it is simple to make a mistake. Some use some sort of a lifehack storing everything in another file or a record book and then add it into document's template. Anyway, put your best with all efforts and provide true and solid information with your MANAGED CARE CONTRACTING form, and check it twice during the process of filling out the required fields. If it appears that some mistakes still persist, you can easily make amends while using PDFfiller application and avoid blown deadlines.

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