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Successful Private Practice: Winning Strategies for Mental Health Professionals
Susan Frager
*File claims that get paid*Get more sessions for your clients*Take the stress out of communicating with managed-care companies*Promote your clients’ Confidentiality Learn to take charge of managed care

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A "how-to" guide for dealing with the everyday practice issues related to working with managed care. Written by an industry insider, Managing Managed Care offers a candid and unprecedented behind-the-scenes view, with focus on issues of vital importance to today’s practitioner:*Understanding the "participating-provider" contract*Challenging fee reductions*Writing treatment reports in "managed-care- friendly" language to enhance the likelihood of obtaining continued authorization*The nuts and bolts of "medical necessity"*Effectively fighting denials of care*Getting claims paid

Managing Managed Care features insights from case managers, other managed-care employees in critical areas such as network, quality, consumer service, and managed- behavioral care company executives. Learn why they close the panels. Who gets the referrals, and why? How are managed-care and insurance companies shifting financial risk to practitioners? How is managed care itself changing as a result of market pressures? What effect does NCQA have on managed-care companies? How does all this affect you and your clients, and what can you do about it?

 

 
 

Paperback
Pages, 7-1/2 x 9-1/4 in.
 
Item #:
Price:
0471351776
$55.00

John Wiley & Sons, Inc.

 
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