Payer Contracts Warrant Attorney Review

Q. I have received a new health care payment plan contract. Usually these contracts are complex, but this one is only a single page. I like that, but how can I be sure about what I am signing?

A. You want to enter each contractual arrangement with your eyes wide open. Even if the contract is just one page, such short documents often incorporate many provisions by reference; only an attorney with experience in these matters will understand the contract’s full effect.  For instance, the single page may refer to a “provider” manual or maybe even a webpage that will contain important provisions. Those manuals and webpages will have all of the complexity that longer contracts have and will certainly contain important information you may want to consider.

TMA’s Office of General Counsel recommends you always have a health care attorney review a health care payment plan contract before you sign. TMA has arranged a specially priced contract evaluation service for TMA members. For $150, Michael Z. Stern, JD, of the Law Office of Hubert Bell, Jr., will review a new or existing managed care contract for legal pitfalls and provisions that may alter or affect your medical practice. You will receive a written evaluation.

Send your contract along with payment to Michael Z. Stern, JD, Law Office of Hubert Bell, Jr. 1907 N. Lamar Blvd., Ste. 300, Austin, TX 78701.  (Reviews of other types of contracts also are available. For a price quote, forward a copy of your contract to Mr. Stern.)

For more information, contact Mr. Stern at (512) 469-9006 or m_stern@sbcglobal.net, or the TMA Knowledge Center at (800) 880-7955 or knowledge@texmed.org.

In addition, check out these tips and tools:

Published Jan. 27, 2012


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