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What to Do When Payer Networks Are Closed | HME Contracting Strategies
Manage episode 493148876 series 2123991
Content provided by VGM & Associates and VGM. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by VGM & Associates and VGM or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this episode, Craig Douglas, SVP of HME, Respiratory, & Wellness at VGM, is joined by Melanie Ewald, VP of Payer Relations and Reimbursement, and Kim Cuce', Director of Business Optimization, to tackle one of the biggest challenges in the HME industry: closed payer networks. They share practical strategies for navigating out-of-network situations, working with third-party administrators, and pursuing single case agreements, while emphasizing the importance of clear patient communication, understanding reimbursement, and knowing, understanding, and keeping copies of your contracts.
176 episodes
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Manage episode 493148876 series 2123991
Content provided by VGM & Associates and VGM. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by VGM & Associates and VGM or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this episode, Craig Douglas, SVP of HME, Respiratory, & Wellness at VGM, is joined by Melanie Ewald, VP of Payer Relations and Reimbursement, and Kim Cuce', Director of Business Optimization, to tackle one of the biggest challenges in the HME industry: closed payer networks. They share practical strategies for navigating out-of-network situations, working with third-party administrators, and pursuing single case agreements, while emphasizing the importance of clear patient communication, understanding reimbursement, and knowing, understanding, and keeping copies of your contracts.
176 episodes
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Similar to Industry Matters - Powered by VGM
Surprising stories from unusual places. With ideas too big for a single episode, The Compass presents mini-series about the environment and politics, culture and society.
…
continue reading
We're no longer publishing new episodes of this podcast, but check out our podcast Consider This, where we help you make sense of a major news story and what it means to you six days a week.
…
continue reading
Weekly wrap of events of the week peppered with context, commentary and opinion by a superstar panel. Click here to support Newslaundry: http://bit.ly/paytokeepnewsfree Hosted on Acast. See acast.com/privacy for more information.
…
continue reading
Where sports and politics collide, hosted by Nation magazine Sports Editor Dave Zirin
…
continue reading
The Irish Times' unrivalled foreign affairs coverage, now brought to you in weekly podcast form. Hosted by Chris Dooley with regular contributors Patrick Smyth, Denis Staunton, Lara Marlowe, Suzanne Lynch, Derek Scally, Tom Hennigan, Clifford Coonan and Ruadhan Mac Cormaic.
…
continue reading
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Go offline with the Player FM app!
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