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Physician
Practice Management and
Malpractice Prevention Specialists |
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| SEMINARS
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Seminar
1101
"CAPITATION CONTRACTING WORKSHOP:
AVOIDING PITFALLS / ATTAINING PROFITS"
A one-day seminar designed for both physicians and office
manager/administrators. Current trends in contracting and
managed care opportunities will be studied. The workshop
is designed to maximize success in managed care contracting.
Workshop topics include:
- Examining the operation of various
managed care programs
- Choosing the right plan for your
group/specialty
- Evaluating contracts
- Analyzing the stability of managed
care companies
- Understanding your rights and responsibilities
What You Will Learn:
- How to assess your group's potential
for success with capitated vs. discounted fee-for-service
plans
- How to analyze your profitability
and productivity
- How to know when to drop plans
- How to negotiate rates/contracts
to your benefit
- How to avoid abandonment and other
legal obligations
- When to subcontract vs. providing
the service yourself
- How to develop the manual/computer
systems to successfully manage contracts
- How to design physician
compensation and income distribution formulas
TOP
Seminar
1201
NEGOTIATING CONTRACTS:
NECESSARY SKILLS FOR PHYSICIANS, NOT JUST FOR LAWYERS!
As part of practice life, doctors need to negotiate managed
care contracts, office leases, practice purchases or sales,
employment agreements, staff disputes, and many other day
to day situations which require negotiation skills. As an
additional benefit, participants have also stated attending
this course taught them how to negotiate with spouses, parents
and children!
Failing to successfully negotiate contracts can result in
decreased income, loss of freedom or control or liability.
This course will teach communication, strategy, preparation
and common pitfalls to avoid before negotiating contracts.
Participants will learn:
- Setting the stage- Creating a
conducive atmosphere
- Essential preparations for negotiations
- Determining the what the other
party needs
- "Win- Win" negotiations- Why this
technique works
- Knowing when to use persuasion,
"good cop-bad cop" and other negotiation techniques
- Knowing your bottom line and when
to walk away
- Looking at the long term, not
just the short term ramifications of contracts
- Key elements, phrases and clauses
that should and should not be in contracts
- Successful negotiation tips from
professional negotiators
- Why using professionals makes
sense, how to use them and how to negotiate their fees
TOP
Seminar
1301
"strategies to survive capitation:
EMPLOYING PHYSICIAN EXTENDERS TO ENHANCE YOUR
PRACTICE"
Nurse practitioners, physician assistants and advice nurses
will enhance the efficiency and productivity of the practice
to handle the increased volume of patient visits which typically
occurs with capitated care. This seminar will teach management
of extenders to reduce costs, increase efficiency, retain
patient satisfaction with services, yet reduce malpractice
exposure.
The use of physician extenders has proven to be cost effective
in a fee for service environment. Capitation can increase
utilization of medical services by patients, therefore control
of costs is essential. Physician extenders will be necessary
to maintain services and handle increased volume of visits.
Primary care physicians and specialists can benefit from
the use of physician extenders
Participants will learn:
- How to hire the right person
- Employee vs. independent contractor
tests
- Compensation - salary, benefits,
profit sharing
- Scheduling the extender
- How to assure Extender profitability,
efficiency and productivity
- The importance of clinical protocols
for NP/PA
- Advice nurse protocols to screen
calls
- Legal and Supervision issues
- Developing the team approach
- Patient, staff and referral physician
acceptance of extenders
- Reimbursement and billing for
extenders
TOP
Seminar
1401
"Strategies to survive capitation:
IMPLEMENTING HEALTH PROMOTION AND WELLNESS"
Studies show patients want to learn health promotion from
their physicians. Incorporating wellness and health education
has positive marketing benefits for your practice. With
capitation reimbursement, the incentives for physicians
are to keep patients healthy and to not over-utilize services
which are costly for the practice. Research shows informed
patients often opt for less costly and less invasive treatments.
The Center for Disease Control and the Department of Health
and Human Services estimate that 70% of all diseases and
associated costs could be avoided or postponed through lifestyle
changes such as smoking cessation and efforts to prevent
hypertension, hypercholesterolemia, sedentary lifestyle,
stress, obesity, alcohol and drug abuse, and accidents.
Managed care insurance companies and employers wish to contract
with physicians who will emphasize health education, wellness
and prevention. These entities will be tracking these outcomes
to compare physicians' effectiveness in obtaining positive
health outcomes with their patients. Studies now show that
for every $1 invested in health promotion, companies have
received returns of $3 or greater.
PartIcipants will learn:
- Practical tools to incorporate
wellness and health education in your practice
- What screening tests are
important to provide with comparison and target goal
data
- How to use educational materials
and videos to teach prevention
- Why employing nurse practitioners,
physicians assistants, dieticians and diabetes and health
educators may be cost effective
- Forms to document health
and cancer screening tests
- Why providing written lab
results reduces phone calls to the office
- Studies and outcomes of prevention
programs which have reduced corporation's benefit costs
TOP
Seminar
1501
PREPARING YOUR OFFICE
FOR MANAGED CARE / HMO AUDITS
Many HMO's require, as part of their contract, an audit
of your practice. This seminar will help your practice prepare
for and comply with their requirements and will provide
you with a checklist.
Participants will learn:
- Visibility / Signs/ Hours
- Parking
- Emergency Procedures / Communications
- General Cleanliness / Repair &
Maintenance
- Facility Capabilities / Services
- Medical Records
- Confidentiality / Security
- Appointment Availability Continuity
of Care Systems for:
- Laboratory
- X-Ray
- Consults
- Appointments Patient Education
/ Preventive Health Services Physician License
What to do When you do not
agree with the evaluation:
- Identify the Error
- State your system and policy
- Request a correction and reply
Results from the audit will
benefit the practice if utilized as Practice Enhancement
Tools:
- Risk Management
- Quality Assurance
- Practice Management / Employee
Relations
- Patient Satisfaction
TOP
Seminar
1601
"EVERYTHING YOU ALWAYS WANTED TO KNOW ABOUT
DEALING WITH YOUR IPA, BUT WERE AFRAID TO ASK"
For many doctors and staff today, dealing with their own
IPA can be a frustrating experience. Many practices report
difficulty obtaining payment in a timely manner, denial
of claims due to supposed failure to receive authorization
forms, dictating medical decisions which are not the standard
of care, termination without cause, lack of sharing information
about utilization and cost, and a lack of a service attitude
from the IPA to its physician members.
A divide and conquer strategy prevents physicians from speaking
up to protest unfair business practices due to fear of retaliation
or termination.
Physicians in many areas are creating new ways of working
with managed care. Hear what physicians are doing to consolidate
power and regain control over their future and how you can
implement these same strategies in your community.
Participants will learn:
- Collecting accounts receivable
from the IPA in a timely manner
- How to prove you submitted authorization
and referral forms
- Specialty Networks - Are they
a viable alternative to the multi-specialty IPA?
- The importance of insisting on
financial statements and calculating IBNR
- Why you are entitled to certain
information as an IPA member.
- Legal strategies, avoiding termination
and contracting advice
- What can be done to change the
structure and empower physicians
TOP
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