DecisionHealth, DecisionHealth - 2010 Issue 11 (November)

Protect yourself from private payer ‘most favored nation' clauses

Be on the lookout for clauses in your managed care contracts that require you to accept from the payer the lowest rate you give any other payer. These provisions, known as most favored nation (MFN), cost-containment or prudent buyer clauses, restrict your ability to contract with other payers and force you to get paid less - sometimes a lot less - than you had originally agreed to when you signed the contract.

To read the full article, sign in and subscribe to the DecisionHealth Newsletters.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.