Are you maintaining a healthy margin in hospital revenue? Are you frustrated with the monumental task of cost negotiation with locally managed care companies? Maybe you are not getting sufficiently paid due to a lack of benchmarking and compliance with the best practices. If you want to get reimbursed for the managed care services from payers, you're better off outsourcing managed care contracting services to MediCodeBill. That's because we have a team of qualified performance advisory experts who spend a great deal of effort and time to ensure that your payment in on-time. How do we do it better? Everything from preparation and analysis to negotiation is handled professionally to ensure you are aligned with top payers and if needed, enhance the payer relationship.
MediCodeBill has years of experience in providing managed care contracting services to clients far and wide. With various specializations, we catch errors in nascent stages and ensure it doesn't become a stumbling block in the contracting process. So, today and get our services at reasonable rates.
We will start by assessing the reimbursements across the markets but local and regional. We will identify a favorable service cost applicable to select services. We will perform a detailed evaluation of your services and benchmark the current cost by considering the strategic goals. We help you close the gap between investments and the best goals that contribute to your bottom-line. Our unique approach accelerates negotiations especially when benchmark methods are unsuited.
As demand for managed care continues to grow, most practices neglect the importance of performance monitoring. It is in such cases that lapses can lead to payment complications. So, when you managed care contracting services to MediCodeBill, we take care of auditing the contracts and assessing the compliance with denials, payment precision, care justification, quality of care, and so on.
To get the best out of managed care contracting, your staff must adhere to best practices that are standardized by the industry. On contract, it sounds well-founded but is rarely practiced as per the norms. This is where we come in. We scrutinize the charge updates and evaluate the timeline for claims. Wherever necessary, we will look into the process of negotiation.
We start by making a thorough evaluation of your firm size and the findings will enable to us project your organization's capacity during negotiations or before it. Occasionally, you might not prefer a strategy that is broadly applicable across your enterprise. In such cases, we measure your risk-taking capability in the near-term and long-term and build a unique goal that will help you navigate the managed care contract.
MediCodeBill has many years of experience in managed care contracting solutions. Over the years, we have established ourselves as an authority in various medical billing and managed care contracting process and have become the trusted partner for most renowned healthcare providers and clinics across the US.
We offer more managed contracting solutions annually than most other solutions provider with a proven track record of 98 percent accuracy. Having helped clients recover heaps of due, we have guaranteed a great deal of satisfaction and you too could be part of our brand brigade.
Being a top managed care contracting service provider, we are backed by experienced and qualified staff with in-depth knowledge of the process. Our manage care contracting process consists of the following steps -
In addition to our core offerings, we pride ourselves on delivering a wide range of supplementary services designed to meet your every need. Whether you require personalized consulting, ongoing maintenance, or specialized support, our team is equipped to provide tailored solutions that enhance your experience. We go above and beyond to ensure that all aspects of your requirements are met with the highest level of professionalism and care.
Development of Managed Care Contracting Strategy
We work with you to carry out an internal and external assessment where we evaluate current practice, payer contract performance, revenue opportunity assessment, reimbursement options, SWOT analysis, and standardize the contracting process
Negotiate Contracts
We initiate a contracting strategy with each payer, collect insights on practice cash issues, perform rate sensitivity analysis, review contract rates, and perform termination disruption analysis if the contract is not viable
Contract Implementation
We ensure accuracy of contract, integrate contract as patient information, manage the patient relationship, revenue recovery analysis, denial management, and track payer contract performance
Summarize Fundings
After auditing and analysis, we will prepare a detailed report on our findings to take the research to the next stage
Submit Audit Reports
We furnish audit reports to the client for recordkeeping