Last edited by Kazibar
Monday, July 20, 2020 | History

4 edition of Guide to capitation contracting. found in the catalog.

Guide to capitation contracting.

by American College of Cardiology

  • 263 Want to read
  • 29 Currently reading

Published by American College of Cardiology in Bethesda, MD .
Written in English

    Places:
  • United States.
    • Subjects:
    • Cardiologists -- Salaries, etc. -- United States.,
    • Capitation fees (Medical care) -- United States.

    • Edition Notes

      SeriesThe Cardiovascular specialist"s guide to managed care ;, monograph 3
      ContributionsAmerican College of Cardiology.
      Classifications
      LC ClassificationsRC669 .G85 1993
      The Physical Object
      Pagination68 p. ;
      Number of Pages68
      ID Numbers
      Open LibraryOL1441771M
      ISBN 101882764048
      LC Control Number93074097
      OCLC/WorldCa32610700

        Capitation payments are monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan with a capitated contract. (). The complete capitation handbook: How to design and implement at-risk contracts for behavioral healthcare. Tiburon, CA: Centralink Publications. This book is an installment of the National Behavioral Healthcare Library series and describes behavioral health care financing and delivery systems of the short and intermediate future.

      Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in.   The economic success of a capitated contract is based on accurate pricing of monthly premiums. The pricing of a capitated contract depends, however, on information about billable tests ( CPT codes) that historically has been neglected by clinical laboratories.

      EXHIBIT 1Physician Network, Capitation Contracting, And Delegation Of Managed Care Functions By Aetna U.S. Healthcare In California And New York, – California New York. Contractor Books for All Trades and All Licensing Exams. Contractor Campus is not affiliated to any testing company or government agency. We are an independent school and bookstore providing exam prep services and books to contractors.


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Guide to capitation contracting by American College of Cardiology Download PDF EPUB FB2

For the person who’s really interested in the money aspect of construction and contracting businesses, this book is well worth the cost. There you go. That’s 15 books on construction that are chock full of information on various topics that should help move into the field of construction, or if you just want to do some on your own.

The book provides the tools that will allow clinicians to navigate this process and develop a successful capitated program. The guide contains advice on how to calculate a capitation.

Maria Todd's The Managed Care Contracting Handbook is a must-have book for the non-attorney health care professional negotiating managed care contracts for providers. Todd combines a thorough discussion of managed care contracting basics with helpful hints and practical tools for contracting with all types of payor organizations all with an /5(8).

Capitation is a fixed amount of money per patient per unit of time paid in advance to the physician for the delivery of health care services. The actual amount of money paid is determined by the ranges of services that are provided, the number of patients involved, and the period of time during which the services are provided.

This comprehensive manual will guide home health executives through the maze of capitation/at-risk contracting, the development of operational systems, etc.

Contracting strategies, writing proposals, financial issues, and quality management are covered. Sample contracts, agreements, proposals, and spreadsheets will further enhance the manual's usefulness. Capitated Contract: A healthcare plan that allows payment of a flat fee for each patient it covers.

Under a capitation, an HMO or managed care organization pays. Books shelved as government-contracting: A Pocket Guide on How to Win Government Contracts by Mark W. Mansfield, The Complete Idiot's Guide to Getting Go.

to guide you. The success of your mission might depend in part or completely on your ability to solve problems and think quickly. Your job as a contingency contracting officer (CCO) is acquiring the items needed to support the mission.

While doing this job, you should be aware that many foreign business cultures expect kickbacks, finder’s. a guide to best practices for contract administration office of federal procurement policy (ofpp) october table of contents foreword 3 contract administration 5 overview of the contract administration project 7 contracting officer's technical representative (cotr) 9 voucher/invoice review, approval, and processing 19 contract closeout The global Revenue from contracts with customers guide is a comprehensive resource for entities accounting for revenue transactions under ASC and IFRS This guide was partially updated in March Download the guide Revenue from contracts with customers, global edition.

5 Navigating the Challenges of Capitation Payments and Risk-Sharing Agreements Learning Objectives Understanding the key concepts of capitation and risk sharing arrangements Strategic imperatives for successfully navigating capitation arrangements and other risk arrangements Applying the provisions of ASC Topic to these arrangements.

This book provides physician executives and medical group managers with a 'next generation' reference on the managed care contracting process. This handbook will educate health care providers about managed care contracting: how the contracting process works, what a standard practice contract looks like and why certain provisions are included, what questions to ask and how to evaluate a.

Department of Defense Contracting Officer Warranting Program Model Part 2 – Program Model Considerations for Developing an Individualized Organizational Approach The term “Contracting Officer” is defined in the Federal Acquisition Regulation (FAR) atand discussed in FAR Subpart —Career Development, Contracting Authority, and.

The financial benefits and risks associated with caring for a panel of patients flow directly to the physician.

Under 3-tiered capitation, the plan contracts with an intermediary group that in turn has considerable latitude over how physicians are paid, 19 either by capitation, FFS, salary, or a combination. The advantages of 3-tiered. capitation contracting and the current status and terms of these contracts.

We also discuss issues related to capitation under the Medicare program, review and assess evidence on these issues, and describe current research in progress that will provide additional ICMP's are organizations that offer prepaid delivery systems but.

Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting, published in October Nanci L. Robertson, MA Nanci Robertson is a healthcare consultant specializing in managed care contracting.

The book will cover in detail the most common alternative payment models and what your practice should do to prepare for this transition.

Models detailed include: Pay for performance Bundled payments Shared savings CapitationReviews: 5. Capitation Rate — The sum of the monthly capitation payments (reflecting coverage of Medicare Parts A & B services, Medicare Part D services, and Medicaid services, pursuant to Appendix A of this Contract).

Total Capitation Rate Revenue will be calculated as if all Contractors had received the full quality withhold payment. The Health Care Capitation and Risk Contracting Manual is a guide to all the important facets of capitation: information gathering, developing capitation rates, managing capitation for physicians; hospitals and integrated systems; quality assurance; and Medicare and Medicaid contracting.

Physician Network, Capitation Contracting, And Delegation Of Managed Care Functions By Aetna U.S. Healthcare In California And New York, – California NeworkY. this book is still a valuable and comprehensive explication of the case law about contracting by negotiation.] Peacock, Robert T.

and Peter D. Ting. CONTRACT DISPUTES ACT: ANNOTATED. Washington, DC: Federal Publications, Inc., [A comprehensive explication of the rules about claims, disputes, and appeals.] CONTRACT PRICING The supreme subject.Overview of Market Reform, Capitation, and Managed Care Provider Capitation Readiness and the Process of Contracting With Managed Care Organizations Capitation and Alternative Methods of Reimbursement Actuarial Methodologies for Managed Care Capitation Rates Sample Capitation Rates for Typical Plan Designs.

Series Title.Capitation products are essentially insurance contracts which shift risk to the provider accepting the capitation premium.

This paper draws parallels between relatively new healthcare products and services designed to respond to risks brought on by capitation and well-established products use of selective contracting, utilization reviews.