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How can I tell if a managed care rate covers my costs?

Article Abstract:

Reimbursement rates and changes in current procedural terminology codes are key concerns for physicians. Doctors should compare the average reimbursement rates for office procedures with fee-for-service reimbursements to determine whether profit margins are being maintained. Doctors should also investigate changes in evaluation and management codes, within their speciality, to determine whether they affect office practices.

Author: Goldsticker, Cathy, Schwager, Rita
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1996
Health Care, Health Care and Social Assistance, Management, Medical care, Medical professions, Managed care plans (Medical care)

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Coordinating care - a perilous journey through the health care system

Article Abstract:

The urgent need for coordination of health care among health providers, patients and the families that may help raise standards and quality of care is presented.

Author: Bodenheimeer, Thomas
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2008
United States, Product quality, Management dynamics, Analysis, Health care industry, Quality management, Health care coalitions

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Subjects list: Practice, Physicians
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