Lecture 2

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Transcript of Lecture 2

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• A. Evaluating the Plan

• 1. Step One: Gather Information

• 2. Step Two: Review the Contract Revisions

• 3. Step Three: Investigate Utilization Review and Quality

Assurance

• 4. Step Four: Analyze the Plan Reimbursement

• 5. Step Five: Make Recommendation to the Decision Maker

• B. Identify the Deal breakers

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