THIRD-PARTY PAYORS

THIRD-PARTY PAYORS

  • Child Health Care Coverage
  • Insurance Bureaucracy/Paperwork
  • Disability Insurance Policies
  • Health Insurance
  • Health Insurance Coverage in the Free Enterprise System
  • Consumer Protection in ERISA Plans
  • Managed Care Organizations’ Medical Necessity Criteria for Approval of Benefits
  • North Carolina Medical Society Managed Care Organization Report Card
  • Physician Advocacy with Managed Care Organizations
  • Physician Decision-Making in Health Plans
  • Ethics in Managed Care
  • Health Care Coverage for Special Needs Children
  • Health Plan Financial Incentives
  • Fairness Measures in Managed Care
  • Prospective Review by Health Plans
  • Physician Credentialing
  • Exclusivity of Hospital Emergency Use
  • Transplantation Services
  • Dietary Instruction for Chronic Disease Patients
  • Direct Access to Physiatrists
  • Assignment of Benefits
  • Reimbursement for Specific Services or Benefits
  • Health Plan Profits
  • Obesity Surgery Coverage
  • Expert Testimony by Medical Directors for Managed Care Company
  • Assist Solo and Small Medical Practices with Contract Negotiations
  • Standardized Contracting Agreements
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