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Option 1
Plan shall submit copies of Utilization Review and Quality Management Programs, and any updates or addenda to such programs, to Hospital for review, and such programs and any updates and addendums shall not go into effect without prior mutual written consent of both parties.
Option 2
Payer shall make available copies of Procedures, and any updates or addendum to such programs, to Hospital for review. Hospital has thirty (30) days to submit a written objection to Payer regarding such updates. If no objection is received within the aforementioned thirty (30) day objection period, updates to policies, procedures, and programs will automatically go into effect.
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With more than 30 years of experience in health care and hospital operations, marketing, and revenue cycle management, Maria Todd wrote the leading industry books on managed care contract analysis and negotiation written for the medical group and hospital executive audience. Find this book and others authored by Maria on Amazon.com
