Provider Contract.docx - Running Head PROVIDER CONTRACT Provider Contract Student Name Institutional Affiliation 1 PROVIDER CONTRACT 2 Discuss common

Provider Contract.docx - Running Head PROVIDER CONTRACT...

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Running Head: PROVIDER CONTRACT 1 Provider Contract Student Name Institutional Affiliation
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PROVIDER CONTRACT 2 Discuss common issues in the contracting process Various problems are experienced during the contracting process. The most common problem in the contracting process includes the hospital-based physician refusing to contract with the payer. Mainly constant lack a choice of the hospital-based physician and the only option available may not be substituted (Steinward, 2015). As a result, this puts the patient in a challenging financial situation where the hospital-based physician refuses to contract. Hospital- based physicians may choose not to contract if the choice of not contracting is coupled with some financial benefits. Describe four provider obligations commonly included in managed care contracts. The primary provider obligations commonly included in managed care contracts include the provider meets specific qualifications and credentials. Under this obligation, the provider must have valid licensing to attend to the patient’s needs. Also, the provider needs to have a
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