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Chapter Highlights

  • How physicians and their staff can respond to changing payment systems and continually refine their practice management skills to maintain a viable practice

  • How services are currently valued and how assigned values may be used to guide practice management and payer contract negotiations

  • How data are leveraged to negotiate contract terms and payment

  • Guidelines and tools that may be used to monitor and manage charge accumulation, claims filing, payments review, the appeals process, and the use of audits to protect against lost revenue and incorrect billing practices

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