Recorded for the 2019 Spring Convention

44 minutes of synced audio and PowerPoint

Course Description:

Proper contracting and credentialing lays the foundation for your organizations reimbursement, services allowed, and general financial "health" moving forward. In this session, you will be presented with the steps involved, time frames to expect, reimbursement trends, and information on barriers to network access. You will be provided with the information and tools to navigate this complex, yet critical, process. The goal of this session is to prepare new center leadership with a strategic approach to successful contracting and a thorough understanding of expectations in terms of various credentialing requirements.

Speaker: Tammy Mallow, B.S., Director, Contracting and Credentialing DocuTAP

Tammy Mallow has a wide variety of experience in the Urgent Care World. She has practical experience as a Practice Administrator as well as national consulting experience. Ms. Mallow has lent her expertise in health plan contract negotiation and credentialing processes, urgent care business planning, and ongoing practice management for over 20 years. She previously held the position of Corporate Director and Consultant for the Schumacher Group where she worked specifically with community based models with a focus on Urgent Care. She also works periodically with Subsidium Consulting based in Atlanta, and with Merchant Medicine. Her current role, as the Director of Contracting and Credentialing for DocuTAP, Tammy is responsible for the negotiations of health plan contracts for many Urgent Care Centers nationwide. She has been instrumental in provider enrollment strategies and in offering advisory services for the development of startup urgent care. Her combined background of direct clinic experience and broad based consulting is incorporated in her lectures to bring a real life perspective to her audience. Tammy has worked with UCA for several years as a faculty member, a webinar presenter, serving on various committees, and as a general resource in the industry. She is a graduate of Missouri State University, is a publish author on Practice Management and Operations, and is an active member and leader with several industry associations.

Disclosures:

DocuTap - Salary

1 UCMC – Billing & Coding

Submitting for Credit:

If you would like to submit for credit above, you complete the 5 question knowledge test and answer 3 out of 5 correctly. Your certificate will be available under My Credits in your UCAOA profile and your credit will be placed in your profile under “Professional Development” of click on “My Credits”.

Please email education@ucaoa.org with questions.