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To ensure that insurance carriers pay providers in a timely manner, Texas has adopted strict payment regulations. Enforcement of the regulations has led to restitution payments for many providers. However, issues such as clean claims, underpayment, discrepancies in payment dates, and self-funded claims continue to present challenges.
One hundred years of fire suppression has altered the ecological processes of the Ozark Highlands resulting in unsustainable ecosystems. The Ozark-St. Francis National Forest used GIS and an Ecological Classification System (ECS) to identify, characterize, and map suitable landscapes for ecosystem restoration. The primary use of GIS and ECS was to map land… (More)
An effective managed care contract negotiation strategy should be founded on: Internal analysis that compares performance of your current managed care contracts in terms of volume versus discount rates and volume versus profit. External analysis that compares your current contracts with those of competitors and assesses prevailing market rates, contract… (More)