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