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DQ: Hospital inpatient managed care contract


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DQ: Hospital inpatient managed care contract DQ: Hospital inpatient managed care contract Select one managed care organization and create a two-page hospital inpatient managed care contract. The contract can be written from the perspective of the MCO. Your contract should address information from a minimum of 5 of the following areas: Reimbursement levels and parameters Administrative cost criteria Provider cost and responsibility Volume Risk assumption criteria Claims payments and eligibility determination Eligibility determination and prior authorization Dispute resolution Contract Termination Provide a detailed explanation stating how each of your selected criteria should be written to protect the MCO. Submit both

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