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"Managing Your
Managed Care Contracts"

Ethical & Practical Implications of Provider Contracts
Mary Alice Fisher, Ph.D.

3 CE Credits in Ethics

 I. Ethics Codes & Professional Standards  
  

Fees & Reimbursement
Continuity of Care
Confidentiality & Disclosure
Informed Consent

  
     
 II. Contracted Understandings  
  Actual Words vs Hidden Meanings & Unwritten Rules  
     
 III. Practical Issues  
  

Fee Setting; Private Fee Agreements
Appealing Adverse Decisions
Standards of Care
One-Sided Indemnification
Reimbursement Limitations
Gag Clauses
Restrictive Covenants
Term-Of-Contract Considerations
Causes for Termination of Contract
Performance Evaluations

  
     
 IV. Ethical Implications & Pitfalls  
  

Informed Consent Complications
Confidentiality Limitations
Capitations & Other Financial Incentives
Ethical Responses to Potential Liability Issues
Potential Abandonment Issues

  

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Three (3) Continuing Education Credits (Ethics)
Approved by the Virginia Board of Psychology - Provider #0814000006
Approved by the National Association of Social Workers (NASW) - Provider # 886-40-7427
Approved through Virginia Counselors Association [NBCC Approved Provider #2047]

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