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Contracting

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Description

Clinic Startup Primer:  Contracting

1 hour Audio and Power Point Presentation

Recorded April 17, 2016

Course Description:

This presentation will carefully walk you through the exciting world of start-up UC contracting and credentialing! Sharing years of hands-on experience to better prepare you for this process. You will be shown detailed time frames, sample contract language, and helpful hints. We will talk about various fee schedules, including flat/global rates. We will review industry data on rates in various markets and are prepared to answer questions and offer advice on how to navigate this confusing and frustrating process. We intend to present the material in a way that provides information you can "take home" and apply.

Learning Objectives: 

  • Identify Contracting and Credentialing Time Lines and Processes
  • Differentiate between various Fee Schedules and Provider Contracts
  • Evaluate Flat Rate Reimbursement
  • Determine best type of agreements and reimbursement options for your practice
  • Differentiate current reimbursement averages in UC and PCP

Faculty Bio:  Tammy Mallow, B.S.

Tammy Mallow has a wide variety of experience in the Urgent Care World. Ms. Mallow has lent her expertise in health plan contract negotiation and credentialing processes, urgent care business planning, and ongoing practice management for over 20 years. She previously held the position of Corporate Director and Consultant for the Schumacher Group where she worked specifically with community based models with a focus on Urgent Care. She also works periodically with Subsidium Consulting based in Atlanta. In her current role, as the Director of Contracting and Credentialing for DocuTAP, Tammy is responsible for the negotiations of health plan contracts for many Urgent Care Centers nationwide. She has been instrumental in provider enrollment strategies and in offering advisory services for the development of start up urgent care. Her hands-on experience as a Practice Administrator for a multi-site urgent care group in the mid-west has provided her with a unique insight to the overall operations of an urgent care center. This combined background of direct clinic experience and broad based consulting is incorporated in her lectures to bring a real life perspective to her audience. Tammy has worked with the UCAOA for several years as a conference faculty member, a webinar presenter, serving on various committees, and as a general resource in the industry. She is a graduate of Missouri State University, is a publish author on Practice Management and Operations, and is an active member and leader with several industry associations.

Credit Information:

Designation Statement
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase.

Urgent Care Management Certificate 

Earn 1 UCMC credit in Billing & Coding by listening to this recorded session.

Submitting for Credit:  

If you would like to submit for either of the credit above, once you complete the activity you must submit for credit you will need to complete the 5 question exam.  You must answer 3 out of 5 correctly to receive credit.  Your credit will be placed in your profile under Professional Development or click on "My Credits".  Email education@ucaoa.org with questions.  

System Requirements

For the best viewing experience, please use IE 8 or above, the newest versions of Google Chrome, Firefox, or Safari. These programs are compatible with mobile devices and tablets.  Use this link to test your system or view additional requirements: http://ucaoa.peachnewmedia.com/SystemCheck/

 


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