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How to Stop Revenue Erosion from Payer Contracts

How to Stop Revenue Erosion from Payer Contracts


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Speaker: Penny Noyes


Ugh! How do I get started on the overwhelming task of cleaning up my practice's payer contracts? Attend this fast-paced, comprehensive session that takes you form A to Z in payer contracting. It starts off with a historical segment, covering a 20 year period from both the payer and provider sides of the industry. It addresses the pros and cons of using Medicare as the basis for contract rates. Also covered in significant detail..Getting organized, finding your current contracts and rates, establishing timelines, analyzing current rates and determining the effects of new offers on the bottom line, creating your checklist of inappropriate contract provisions and alternate language that will work.
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Listen and learn the following:
  • Understand what happened in this industry that caused the revenue erosion.
  • Determine how to inventory your current agreements.
  • Learn step-by-step how to gather your data and estimate the effects of new rates on the bottom line and by procedure.
  • Spot unfair contract language and replace it with more favorable language.
  • Build the confidence to face any payer or network.
  • Meet Our Expert Speaker:

    Penny Noyes, is the President of Health Business Navigators, based in Bowling Green, KY. With 18 years on the payer/network side of the industry and 7 years on the practice management side, in 1999 she founded Health Business Navigators (HBN), a firm dedicated to assisting practices with payer contracting and credentialing. From 1995 thru 1999, she served as Sr. Vice President of Business Development at U.S.HealthWorks responsible for acquisitions, marketing, managed care contracting, national account sales, pricing, outcomes research, revenue enhancement and reserve reduction.acquiring in 2 years nearly 80 practices in 7 states representing $100 million in annual revenue. Prior to USHW she spent over 11 years at Allmerica Financial, where she became chief operating officer of the managed care division, AMM, responsible nationwide for provider networks of 180, 000 providers, utilization management and product development.

    While at AMM she was selected by PHCS' 17 payer partners to represent the payers' interests at PHCS board and senior management meetings. She is a popular writer and speaker nationwide encouraging practices to take charge of their payer contracts.