{"id":24242,"date":"2023-07-15T22:43:24","date_gmt":"2023-07-15T22:43:24","guid":{"rendered":"https:\/\/www.goodacademic.com\/blog\/questions\/assignment-of-a-provider-relations-manager-at-allianta-ins-co-an-appoint-with-pract-admin-phys-leader-at-ashford-medical-group-is-multispecialty-practice-10-drs-this-appointment-aims-to-recrui\/"},"modified":"2023-07-15T22:43:24","modified_gmt":"2023-07-15T22:43:24","slug":"assignment-of-a-provider-relations-manager-at-allianta-ins-co-an-appoint-with-pract-admin-phys-leader-at-ashford-medical-group-is-multispecialty-practice-10-drs-this-appointment-aims-to-recrui","status":"publish","type":"questions","link":"https:\/\/www.goodacademic.com\/blog\/questions\/assignment-of-a-provider-relations-manager-at-allianta-ins-co-an-appoint-with-pract-admin-phys-leader-at-ashford-medical-group-is-multispecialty-practice-10-drs-this-appointment-aims-to-recrui\/","title":{"rendered":"assignment of a provider relations manager at Allianta ins Co.  an  appoint with pract admin, phys leader at Ashford Medical Group , is  multispecialty practice 10 drs. This appointment aims to recruit AMG to be an in-the-network provider at Allianta."},"content":{"rendered":"<div><\/div>\n<div>\n<h2 style=\"margin: 6px 0px; font-size: 1.8em; line-height: 1.5; cursor: auto;\">Provider Contracts Presentation<\/h2>\n<h3 style=\"margin: 6px 0px auto; font-size: 1.5em; line-height: 1.5; cursor: auto;\">[WLO: 3] [CLOs: 1, 2, 3, 4, 5]<\/h3>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Prior to beginning work on this assignment, review the following:<\/p>\n<ul style=\"margin-right: 0px; margin-bottom: 6px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"cursor: auto; color: inherit;\">Chapter 3: The Provider Network<\/li>\n<li style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><a style=\"cursor: auto;\" data-api-returntype=\"File\" data-api-endpoint=\"https:\/\/ashford.instructure.com\/api\/v1\/courses\/108863\/files\/18726450\" data-canvas-previewable=\"true\">Why Removing Percent-Of-Charge Provisions in Managed Care Contracts Won\u2019t Address Concerns About High Hospital Charges<\/a><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\"><\/span><span style=\"margin: -1px; cursor: auto; color: inherit;\">Download Why Removing Percent-Of-Charge Provisions in Managed Care Contracts Won\u2019t Address Concerns About High Hospital Charges<\/span><\/a><\/span><\/li>\n<li style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><a style=\"cursor: auto;\" data-api-returntype=\"File\" data-api-endpoint=\"https:\/\/ashford.instructure.com\/api\/v1\/courses\/108863\/files\/18726443\" data-canvas-previewable=\"true\">Surprise Bills From Outpatient Providers: A National Survey<\/a><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\"><\/span><span style=\"margin: -1px; cursor: auto; color: inherit;\">Download Surprise Bills From Outpatient Providers: A National Survey<\/span><\/a><\/span><\/li>\n<li style=\"cursor: auto; color: inherit;\"><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\">Evaluating Network Adequacy of Oral Health Services for Children on Medicaid in Arizona<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"margin: -1px; cursor: auto; color: inherit;\">Links to an external site.<\/span><\/span><\/a><\/li>\n<\/ul>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">There are several key elements required in a health care provider&#8217;s contract with a managed care organization (MCO). A typical contract between an MCO and a physician contains definitions, terms, obligations, and other features of payer-provider agreements. Terms and clauses are not expected to be changed, while payment terms that can be renegotiated should be placed in appendices.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">For this assignment, you are taking on the role of a provider relations manager at Allianta insurance company. You have an appointment with the practice administrator and physician leader at Ashford Medical Group (AMG), which is a multispecialty practice with 10 health care providers. Currently, AMG is not a participating provider at Allianta. The goal of this appointment is to recruit AMG to be an in-the-network provider at Allianta.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">For this assignment, you must prepare a thorough PowerPoint presentation and record a screencast video of your PowerPoint presentation.<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><strong style=\"font-weight: bold; cursor: auto; color: inherit;\">You must use the<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\"><a style=\"cursor: auto;\" data-api-returntype=\"File\" data-api-endpoint=\"https:\/\/ashford.instructure.com\/api\/v1\/courses\/108863\/files\/19363130\" data-canvas-previewable=\"true\"><em style=\"cursor: auto; color: inherit;\">Provider Contracts Presentation PowerPoint Template<\/em><\/a><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"margin: -1px; cursor: auto; color: inherit;\">Download Provider Contracts Presentation PowerPoint Template<\/span><\/a><\/span><\/strong>. Compose a transcript for your presentation in the Speaker Notes area.<\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><strong style=\"font-weight: bold; cursor: auto; color: inherit;\">Part 1: PowerPoint Presentation<\/strong><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">The PowerPoint presentation must include the following:<\/p>\n<ul style=\"margin-right: 0px; margin-bottom: 6px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"cursor: auto; color: inherit;\">Identify the justifications for health care providers to contract with Allianta.\n<ul style=\"margin-right: 0px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"cursor: auto; color: inherit;\">Note: Reference Table 3.1 &#8211; Payer and Provider Reasons for Contracting in your textbook for information regarding the benefits of being an in-the-network provider.<\/li>\n<\/ul>\n<\/li>\n<li style=\"cursor: auto; color: inherit;\">Discuss the credentialing process.<\/li>\n<li style=\"cursor: auto; color: inherit;\">Examine two important common clauses in the contract: no balance billing and nondiscrimination.<\/li>\n<li style=\"cursor: auto; color: inherit;\">Analyze the importance of provider contracts in maintaining a provider network.<\/li>\n<li style=\"cursor: auto; color: inherit;\">Explain network adequacy and its significance to health plan members.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Provider Contracts Presentation [WLO: 3] [CLOs: 1, 2, 3, 4, 5] Prior to beginning work on this assignment, review the following: Chapter 3: The Provider Network Why Removing Percent-Of-Charge Provisions in Managed Care Contracts Won\u2019t Address Concerns About High Hospital ChargesDownload Why Removing Percent-Of-Charge Provisions in Managed Care Contracts Won\u2019t Address Concerns About High Hospital [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[1110],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/24242"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=24242"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/24242\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=24242"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=24242"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=24242"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=24242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}