Managed care contractual provisions affect payment, departmental organization, billing procedures and confidential records. Contracts can also impact clinical decision-making. They are a formidable force to be considered by healthcare executives at every step in the revenue cycle—from initial procedure scheduling to claims processing and collections.
Holding contract details within the confines of the managed care contracting department does little to serve the greater good of the larger healthcare organization. Knowledge sharing is necessary to achieve financial goals.