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Published byAndrea Laurel Stevenson Modified over 9 years ago
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T HE C ONTRACT I S Y OUR P RE - NUP Presented by: Dr. Carol Law
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Looking For Love In So Many Places
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Bid Lists Meeting at conferences Local Vendors Association Members – SAPAA-DATIA Finding Your TPA
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Negotiated Lowest Bid RFP – Point allocations Sorting Through the Possibilities
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Request For Proposal (RFP) What should you ask for in the RFP and include in the final contract
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Request For Proposal (RFP) How long is the contract and is it renewable – is longer better?
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Who Will … 1.Vet the Lab 2.Select the MRO 3.Locate Collection Sites 4.Vet the credentials of the site
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Who Will … 5.Select randoms/alternates 6.Find a SAP 7.Manage Follow-up Program
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How will the randoms be handled What reports will be provided – Example – MIS – ¼ Activity summary Also Define
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Third Party Administrator (TPA)
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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
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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?
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Answer questions with citations Assist with corrective actions What should or can the TPA do?
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What can the TPA not do? – Lab Results – TPA – Medical Information – SAP Reports – Determine whether to test
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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?
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If the TPA is Also the MRO Does the MRO supervise his/her staff?
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Credentials A Must
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Minimum 1 million/test – Professional Liability – General Liability Insurance
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Certification for the TPA and the MRO DUN# References – make sure you call them Other Credentials
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On the Road
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Phone Email Citations When you have a question
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Direct Deposit Check Net 30? How is payment to be made?
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End of the Road
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Under What Condition? – Poor performance Closing of Business – Notice Firing the Client – Notification in writing – Test results to delinquent customers Termination
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Questions?
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