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eNewsletter

June 2, 2016

Can Your Referral Providers Provide Payer Insight Ahead Of Contract Negotiations?

Congratulations, you have a healthcare referral partner. Now you can sit back and watch the waiting room fill up with new patients.

Unfortunately, healthcare collaboration is not achieved without planning and communication. Therefore, as you begin a relationship with your referral partner - or even seek to strengthen a long-standing but low-volume referral partnership - you might also think about collaboration possibilities across all levels of the patient experience - from access and billing to denied claim resolution.

There is not better time to assess your communication strategy then during. . . . .

Keep reading this article.

AppealLettersOnline.com: New Letter Content

Appeal Solutions has a number of new specialty-specific appeal letters. Go to AppealLettersOnline for access to the following new letters:

Request for Clinical Criteria - Ob-Gyn
Request for Clinical Criteria - Reproductive Medicine
Request for Coding Credential - Reproductive Medicine
Request for Coding Criteria - Reproductive Medicine
Request for Reproductive Med Peer Review - Reproductive Medicine

Access these resources and many more at AppealLettersOnline.com

Free Practice Improvement Webinar:
Developing An Orthopedic Healthcare Referral Network Communication Plan

You share a lot with your referral network - patients, payers and even at times, denials. Can a good communication plan with your referral partners help energize the revenue cycle and insure lower denials? Yes, working closely with your referral partners can facilitate more prompt, accurate referrals and authorizations within the payer-specific documentation and treatment guidelines. However, your referral sources can also be a source of comparable data regarding payer performance on such critical metrics as electronic remittance transparency, processing time frames and overall denial rates.
Healthcare collaboration is not achieved without planning and communication.

Therefore, as you begin a relationship with your referral partner - or even seek to strengthen a long-standing but low-volume referral partnership - you might also think about collaboration possibilities across all levels of the patient experience - from access and billing to denied claim resolution.

Learn how a Healthcare Referral Network Communication Plan can help build your orthopedic practice, improve your revenue cycle and offer added value to your payers by attending our webinar Tuesday, June 21 at 1 p.m. EDT/10 am PDT.

During this hour, you'll hear industry expert Tammy Tipton discuss:

  • Training your staff to be involved in referral network building
  • Common shortcomings in referral communication and why to reconsider how referral communications are generated.
  • What specific demands to make in payer negotiations so that your referral network remains strong.
  • Best practices for a Healthcare Referral Network Communication Plan and why persistence pays in building referral ties.

Handouts include five communication templates for use in improving your referral partner communications. Email Tammy Tipton at t.tipton@appealsolutions.com for participation instructions. All participants will be required to complete a short survey regarding their current referral communication strategy.

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