Managed Care Operations

  • Assess your current managed care operations

  • Implement systems/ processes to assist with patient management and help increase revenue

Case Management Services

  • Educate all key staff on managed care best practices

  • Provide training and tools on contract management to help you better manage levels, rates, and exclusions

  • Review managed care claims for accuracy and to ensure your billing systems are capturing all revenue


Contract Negotiations

  • Identify new contracts needed

  • Negotiate all rate, level, and contract exclusions

  • Execute full contract and implementation assistance

Contract Analysis

  • Compare and analyze negotiated rates among existing agreements

  • Help staff understand business impacts of key contract terms

  • Improve department productivity