T HE C ONTRACT I S Y OUR P RE - NUP Presented by: Dr. Carol Law
Looking For Love In So Many Places
Bid Lists Meeting at conferences Local Vendors Association Members – SAPAA-DATIA Finding Your TPA
Negotiated Lowest Bid RFP – Point allocations Sorting Through the Possibilities
Request For Proposal (RFP) What should you ask for in the RFP and include in the final contract
Request For Proposal (RFP) How long is the contract and is it renewable – is longer better?
Who Will … 1.Vet the Lab 2.Select the MRO 3.Locate Collection Sites 4.Vet the credentials of the site
Who Will … 5.Select randoms/alternates 6.Find a SAP 7.Manage Follow-up Program
How will the randoms be handled What reports will be provided – Example – MIS – ¼ Activity summary Also Define
Third Party Administrator (TPA)
What should or can the TPA do? Select randoms/alternates Provide reports Notify you of missed randoms Keep you up to date on rule changes
What should or can the TPA do? Act as Intermediary in the Transmission of Tests Lab – MRO-TPA-Company BAT-TPA (NEG ONLY) Can they simulcast?
Answer questions with citations Assist with corrective actions What should or can the TPA do?
What can the TPA not do? – Lab Results – TPA – Medical Information – SAP Reports – Determine whether to test
If the TPA is going to keep your records Make sure it is in the Contract Ask how they will be handled What will happen if they stop being your TPA?
If the TPA is Also the MRO Does the MRO supervise his/her staff?
Credentials A Must
Minimum 1 million/test – Professional Liability – General Liability Insurance
Certification for the TPA and the MRO DUN# References – make sure you call them Other Credentials
On the Road
Phone Citations When you have a question
Direct Deposit Check Net 30? How is payment to be made?
End of the Road
Under What Condition? – Poor performance Closing of Business – Notice Firing the Client – Notification in writing – Test results to delinquent customers Termination
Questions?