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THE CHALLENGE

In today's environment, the average hospital signs numerous contracts with managed care organizations and insurers. Many of these contracts contain provisions that hamper a hospital's ability to obtain adequate reimbursement, unduly restrict billing and appeal timeframes, allow unnamed, non-contracting organizations to discount reimbursements to the hospital, and expose the hospital to unnecessary liability and loss.

Most hospitals do not have the time or resources to review these contracts in detail, compile and analyze meaningful performance data, and monitor their financial impact. This could cause significant losses due to untimely claim submissions and appeals, increased work for staff and automatic renewal of unprofitable contracts.

How can you manage this important area of your business with limited time and staff?