--- title: PMI Blog | carrier contract guidelines description: carrier contract guidelines | Information and resources from Practice Management Institute - PMI image: https://info.pmimd.com/hubfs/Untitled%20design%20(7).png --- [![pmi-logo-white-on-blue](https://info.pmimd.com/hs-fs/hubfs/pmi-logo-white-on-blue.png?width=174&name=pmi-logo-white-on-blue.png "pmi-logo-white-on-blue")](https://www.pmimd.com/) - [About PMI](https://www.pmimd.com/about/) - [Online Training Center](https://www.pmimd.com/onlinetraining/) - [Instructors](https://www.pmimd.com/instructors.php) - [Contact Us](https://www.pmimd.com/contact.asp) ## [Navigating Carrier Guidelines for Optimal Practice Reimbursement](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement) Posted by [Nancy Clements](https://info.pmimd.com/blog/author/nancy-clements) on Jul 6, 2023, 4:25:20 PM - [Tweet](https://twitter.com/share) [![](https://info.pmimd.com/hubfs/social-suggested-images/fs.hubspotusercontent00.nethubfs2430152Canva%20imagesCanva%20Design%20DAEqjZANqZA.png)](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement) When a Medicare patient has multiple sources of insurance coverage, Medicare will only pay for services after the primary payer has processed the claim and made their payment.  Medical office staff must always verify the patient's insurance coverage thoroughly - gathering all necessary information from the primary insurance, such as policy numbers, claim submission instructions, and any preauthorization requirements, etc. [Read More](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement) 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/navigating-carrier-guidelines-for-optimal-practice-reimbursement#comments-listing) Topics: [Practice cash flow](https://info.pmimd.com/blog/tag/practice-cash-flow), [payer contract](https://info.pmimd.com/blog/tag/payer-contract), [carrier contract](https://info.pmimd.com/blog/tag/carrier-contract), [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [medicare compliance](https://info.pmimd.com/blog/tag/medicare-compliance), [patient billing](https://info.pmimd.com/blog/tag/patient-billing), [claims](https://info.pmimd.com/blog/tag/claims), [insurance](https://info.pmimd.com/blog/tag/insurance) ## [Why Quality Documentation Matters](https://info.pmimd.com/blog/why-quality-documentation-matters) Posted by [Nancy Clements](https://info.pmimd.com/blog/author/nancy-clements) on Nov 10, 2021, 3:45:00 PM - [Tweet](https://twitter.com/share) [![](https://info.pmimd.com/hubfs/social-suggested-images/info.pmimd.comhubfsstockkk.jpg)](https://info.pmimd.com/blog/why-quality-documentation-matters) If you work with provider claims in a medical office, then you have probably heard the phrase, “If it isn’t documented, it wasn’t done.” But a 2020 Center for Medicare and Medicaid Services (CMS) report found that more than 70 percent of claims submitted for payment were paid improperly, meaning something was incomplete or missing from the documentation submitted with a claim. [Read More](https://info.pmimd.com/blog/why-quality-documentation-matters) 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/why-quality-documentation-matters#comments-listing) Topics: [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [medical billing](https://info.pmimd.com/blog/tag/medical-billing), [Medicare fraud](https://info.pmimd.com/blog/tag/medicare-fraud), [medicare compliance](https://info.pmimd.com/blog/tag/medicare-compliance), [patient billing](https://info.pmimd.com/blog/tag/patient-billing) ## [How to Negotiate Payer Contracts: Expert Insights for Your Practice](https://info.pmimd.com/blog/negotiating-payer-contracts) Posted by [Practice Management Institute](https://info.pmimd.com/blog/author/practice-management-institute) on May 10, 2021, 6:22:38 PM - [Tweet](https://twitter.com/share) [![negotiating payer contracts](https://info.pmimd.com/hubfs/negotiatingpayercontracts.jpg)](https://info.pmimd.com/blog/negotiating-payer-contracts) Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher, JD, MBA, CHC, of DC-based Law Firm, Liles Parker. Before you start the negotiation process, here are a few things to consider. [Read More](https://info.pmimd.com/blog/negotiating-payer-contracts) 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/negotiating-payer-contracts#comments-listing) Topics: [Practice management](https://info.pmimd.com/blog/tag/practice-management), [contract negotiation](https://info.pmimd.com/blog/tag/contract-negotiation), [payer contract](https://info.pmimd.com/blog/tag/payer-contract), [carrier contract](https://info.pmimd.com/blog/tag/carrier-contract), [value proposition](https://info.pmimd.com/blog/tag/value-proposition), [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [Heidi Kocher](https://info.pmimd.com/blog/tag/heidi-kocher), [medical practice benchmarking](https://info.pmimd.com/blog/tag/medical-practice-benchmarking) ## [Practice Managers and Auditors: Learn to Stand Your Ground with Payers](https://info.pmimd.com/blog/how-to-stand-your-ground-with-payers) Posted by [Nancy Clements](https://info.pmimd.com/blog/author/nancy-clements) on Apr 13, 2021, 5:15:06 PM - [Tweet](https://twitter.com/share) [![](https://info.pmimd.com/hubfs/payer%20audit.jpg)](https://info.pmimd.com/blog/how-to-stand-your-ground-with-payers) Changes to healthcare delivery, and billing codes during the pandemic, along with major updates to the E/M documentation guidelines have created a ripe environment for government-contracted auditors. But you have the right to challenge auditors. Take steps now to establish your culture of compliance. [Read More](https://info.pmimd.com/blog/how-to-stand-your-ground-with-payers) 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/how-to-stand-your-ground-with-payers#comments-listing) Topics: [Practice cash flow](https://info.pmimd.com/blog/tag/practice-cash-flow), [payer contract](https://info.pmimd.com/blog/tag/payer-contract), [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [medical office](https://info.pmimd.com/blog/tag/medical-office), [medical billing](https://info.pmimd.com/blog/tag/medical-billing), [financial management](https://info.pmimd.com/blog/tag/financial-management), [auditing](https://info.pmimd.com/blog/tag/auditing) ## [Education and Hard Work Have Helped Elizabeth Daley Set a Strong Foundation for Career Growth](https://info.pmimd.com/blog/education-and-hard-work-have-helped-elizabeth-daley-set-a-strong-foundation-for-career-growth) Posted by [Nancy Clements](https://info.pmimd.com/blog/author/nancy-clements) on Mar 10, 2021, 12:39:18 PM - [Tweet](https://twitter.com/share) [![](https://info.pmimd.com/hubfs/E_Daley3-1.jpg)](https://info.pmimd.com/blog/education-and-hard-work-have-helped-elizabeth-daley-set-a-strong-foundation-for-career-growth) Elizabeth Daley, MHA, CMIS, CMOM, CMCO, is Director of Client Success at Collect Rx, a 15-year-old company launched by former executives from third-party vendors who pioneered the out-of-network (OON) industry. The company works with 2,100 clients across the country and have built a proprietary database with thousands of claim resolutions at their fingertips to facilitate and expedite the negotiation process. [Read More](https://info.pmimd.com/blog/education-and-hard-work-have-helped-elizabeth-daley-set-a-strong-foundation-for-career-growth) 0 Comments [Click here to read/write comments](https://info.pmimd.com/blog/education-and-hard-work-have-helped-elizabeth-daley-set-a-strong-foundation-for-career-growth#comments-listing) Topics: [Practice cash flow](https://info.pmimd.com/blog/tag/practice-cash-flow), [value proposition](https://info.pmimd.com/blog/tag/value-proposition), [carrier contract guidelines](https://info.pmimd.com/blog/tag/carrier-contract-guidelines), [medical practice issues](https://info.pmimd.com/blog/tag/medical-practice-issues), [medical billing](https://info.pmimd.com/blog/tag/medical-billing), [financial management](https://info.pmimd.com/blog/tag/financial-management) [All posts](https://info.pmimd.com/blog/all) ### Subscribe Here! ### Recent Posts ### Posts by Tag - [Practice management (50)](https://info.pmimd.com/blog/tag/practice-management) - [medical office manager topics (43)](https://info.pmimd.com/blog/tag/medical-office-manager-topics) - 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