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

Services

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