TO GET A RAISE FROM
MANAGED CARE PLANS & NEGOTIATE YOUR CONTRACTS"
By Lyn Kelley, Ph.D., MFT, CPC
Includes 75-page manual and C.E. Quiz plus Certificate for 10 C.E. Contact Hours
||$97 + $20 Shipping
& Handling ($117)
All medical and healthcare providers who accept insurance need to read this book! Your practice success depends on it. You will learn how Managed Care Plans (MCP’s) covertly attempt to abuse you and how you can stop their unfair practices immediately. You’ll learn how to negotiate, how to investigate them, what to do when care is denied, how to get raises, (yes - and BIG ones!) tricky phrases in your contract to watch out for, and when you shouldn’t touch an MCP with a 10-foot pole.
You will learn how Managed Care Plans (MCP’s) covertly attempt to abuse you and how you can stop their unfair practices immediately. You’ll learn how to negotiate, how to investigate them, what to do when care is denied, how to get raises, (yes - and BIG ones!) tricky phrases in your contract to watch out for, and when you shouldn’t touch an MCP with a 10-foot pole.
All managed care contracts can be negotiated (and SHOULD BE!). Learn how you can determine if a plan is good for you and how to negotiate your contract in YOUR FAVOR. More importantly, this book teaches you how to set your fees, stick with your fees, never let managed care decrease your fees or wait more than 30 days to pay your fees, and how to actually get a RAISE in fees! You’ll learn how to negotiate, how to investigate them, and what to do when care is denied.
What others are saying about this Course:
Here’s what managed care companies don’t want you to know:
Previously I had given up on managed care. You gave me the encouragement to believe I could lick the managed care problem. I’m already receiving compliments from the MCP’s on my portfolio you showed me how to create. Thank you!
---Donald Vittner, M.S., Parma, OH
Thank you so much for your manual on managed care. You’re right, it does work as soon as you use it. Your samples were most helpful. I am already getting positive responses from HMO’s who had previously written me off. Thanks again!
---Charie Levy, LPC, Brooklyn, NY
I have read your manual designed to guide practitioners to success in today’s managed care marketplace, and I find it very helpful and optimistic. It is full of useful tips. I support your efforts and recommend this book without reservation.
---Curtis Walling, Ph.D., Licensed Psychologist, Phoenix, AZ
Dear Dr. Kelley,
I would like to thank you for writing a manual on a subject matter not dealt with realistically in the professional literature. The material I have previously read dealing with managed care presented in a rather naďve and idealistic manner. Your manual can be described as a “solution-oriented” approach to dealing with managed care because you hone in on the major obstacles and offer very specific and creative strategies. Thank you for all your hard work that has made it easier for us in the profession.
---Silvia Kaminsky, LMFT, Miami, FL
Right and wrong methods of managed care contract negotiations
How to get a raise with this simple letter
Tricky phrases to watch out for
How to make a formal complaint with a managed care plan (that gets results!)
What plans you shouldn’t touch “with a 10-foot pole”
How managed care plans can easily put you out of business
What to do when care is denied
How to handle a grievance or dispute
Why you should never assume unlimited liability
Sample letters to send to them
How to Know When You’re Being Treated Unfairly
Why You Should Raise Your Fees
7 Ways to Get Paid Your Full Fee at the Time of Service
Chapter One: Right and Wrong Methods of Managed Care Contract Negotiations
Chapter Two: How to Investigate a Managed Care Plan
Chapter Three: What to do When Care is Denied
Chapter Four: Tricky Phrases to Watch Out For
Tricky Phrase #1: MCP’s restrict your referrals to specialists.
Tricky Phrase #2: You agree to contract changes by default.
Tricky Phrase #3: You agree to settle disputes through their “grievance board.”
Tricky Phrase #4: You agree to wait months to be paid.
Tricky Phrase #5: You agree to be locked in for a long period of time.
Tricky Phrase #6: You assume unlimited liability.
Tricky Phrase #7: You cover all costs of patient treatment.
Chapter Five: How to Get a Raise from Managed Care Plans
Chapter Six: When You Shouldn’t Touch a Managed Care Plan With a“10 Foot
Tricky Phrase #8: Covered services are not clearly defined.
committed to the survival and success of our profession.
-Lyn Kelley, Ph.D.,MFT, CPC
Practice Building Coach
Clinical Member, CAMFT, AAMFT