Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP: 3.1.6.1. Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations; 3.1.6.2. Review and make recommendations regarding the business terms of agreements between GROUP and Participating Providers; 3.1.6.3. Make recommendations regarding compensation to Participating Providers; 3.1.6.4. Make recommendations for the development, in conjunction with GROUP, of guidelines for the selection, hiring or firing of Participating Providers; 3.1.6.5. Make recommendations regarding the definition of primary, specialty and ancillary services; 3.1.6.6. Establish and exercise exclusive decision-making authority over the establishment of GROUP policies and procedures, including without limitation, patient acceptance policies and procedures, except with respect to the professional aspects of the Practice to the extent the same constitute or directly affect the practice of medicine which are required by applicable law to be decided by a physician; 3.1.6.7. Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement. 3.1.6.6. Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.
Appears in 2 contracts
Samples: Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc)
Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP:
3.1.6.1. Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations;
3.1.6.2. Review and make recommendations regarding the business terms of agreements between GROUP and Participating Providers;
3.1.6.3. Make recommendations regarding compensation to Participating Providers;
3.1.6.4. Make recommendations for the development, in conjunction with GROUP, of guidelines for the selection, hiring or firing of Participating Providers;
3.1.6.5. Make recommendations regarding the definition of primary, specialty and ancillary services;
3.1.6.6. Establish and exercise exclusive decision-making authority over the establishment of GROUP policies and procedures, including without limitation, patient acceptance policies and procedures, except with respect to the professional aspects of the Practice to the extent the same constitute or directly affect the practice of medicine which are required by applicable law to be decided by a physician;
3.1.6.7. Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement.
3.1.6.63.1.6.8. Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.
Appears in 2 contracts
Samples: Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc)
Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP:
3.1.6.1. Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations;
3.1.6.2. Review and make recommendations regarding the business terms of agreements between GROUP and Participating Providers;
3.1.6.3. Make recommendations regarding compensation to Participating Providers;
3.1.6.4. Make recommendations for the development, in conjunction with GROUP, of guidelines for the selection, hiring or firing of Participating Providers;
3.1.6.5. Make recommendations regarding the definition of primary, specialty and ancillary services;
3.1.6.6. Establish and exercise exclusive decision-making authority over the establishment of GROUP policies and procedures, including without limitation, patient acceptance policies and procedures, except with respect to the professional aspects of the Practice to the extent the same constitute or directly affect the practice of medicine which are required by applicable law to be decided by a physician;.
3.1.6.7. Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement.
3.1.6.63.1.6.8. Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.
Appears in 1 contract
Samples: Management Services Agreement (Prospect Medical Holdings Inc)
Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP:
3.1.6.1. Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations;
3.1.6.2. Review and make recommendations regarding the business terms of agreements between GROUP and health care providers who will provide or are providing services to GROUP ("Participating Providers");
3.1.6.3. Make recommendations regarding compensation to Participating Providers;
3.1.6.4. Make recommendations for the development, in conjunction with GROUP, of guidelines for the selection, hiring or firing of Participating Providers;
3.1.6.5. Make recommendations regarding the definition of primary, specialty and ancillary services;
3.1.6.6. Establish and exercise exclusive decision-making authority over the establishment of GROUP policies and procedures, including without limitation, patient acceptance policies and procedures, except with respect to the professional aspects of the Practice to the extent the same constitute or directly affect the practice of medicine which are required by applicable law to be decided by a physician;
3.1.6.7. Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement.; and
3.1.6.63.1.6.8. Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.
Appears in 1 contract
Samples: Management Services Agreement (Prospect Medical Holdings Inc)