T HE C ONTRACT I S Y OUR P RE - NUP Presented by: Dr. Carol Law.

THE CONTRACT IS YOUR PRE-NUP

Presented by: Dr. Carol Law

Looking For Love In So Many

Places

•Bid Lists

•Meeting at conferences

• Local Vendors

•Association Members – SAPAA-DATIA

Finding Your TPA

•Negotiated

• Lowest Bid

•RFP – Point allocations

Sorting Through the Possibilities

Request For Proposal (RFP)

• What should you ask for in the RFP and include in the final contract

Request For Proposal (RFP)

• How long is the contract and is it renewable – is longer better?

Who Will …

1. Vet the Lab2. Select the MRO3. Locate Collection Sites4. Vet the credentials of the

site

Who Will …

5. Select randoms/alternates6. Find a SAP7. Manage Follow-up Program

• How will the randoms be handled

• What reports will be provided

–Example – MIS

–¼ Activity summary

Also Define

Third Party Administrator

(TPA)

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

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?

• Answer questions with citations

• Assist with corrective actions

What should or can the TPA do?

What can the TPA not do?

–Lab Results – TPA

–Medical Information

–SAP Reports

–Determine whether to test

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?

If the TPA is Also the MRO

• Does the MRO supervise his/her

staff?

Credentials A Must

• Minimum 1 million/test

–Professional Liability

–General Liability

Insurance

• Certification for the TPA and the MRO

• DUN#

• References – make sure you call them

Other Credentials

On the Road

• Phone

• Email

• Citations

When you have a question

• Direct Deposit

• Check

• Net 30?

How is payment to be made?

End of the Road

• Under What Condition?

– Poor performance

• Closing of Business

– Notice

• Firing the Client

– Notification in writing

– Test results to delinquent customers

Termination

Questions?