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Developing payer contracting resources
What are some of the challenges you have with payer contracting? What areas would you like to have more knowledge about?
I am interested in how payer contracting intersects with government payers. For instance, if I have an Anthem Medicare Advantage plan, do I bill it as our Anthem plan requires or as Medicare requires? Are the medical necessity rules from Anthem or from Medicare? How do I know? What does Medicare require of their Advantage plans?