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Tactics for thwarting silent PPO activity
Steve Messinger1, Terri Welter
1ECG Management Consultants, Arlington, Va., USA.
Abstract:
Silent payers can be difficult to detect, and their payment practices can drastically affect a hospital's bottom line. An audit approach to payment problems can uncover silent PPO activity. Information from the audit can be used to negotiate a settlement for the unpaid amount. Contracts with payers should include specific language that protects against silent PPO activity.
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