Managed Care & Insurance Contracting Assistance
Take a very close look at agreements and proposed fee schedules prior to committing. Whether the contract is a fee-for-service or value-based, there is more there than may appear… Insurers may be moving to value-based reimbursement, but it does not have to be a negative for your practice. Understanding, planning, and continual measurement of the metrics can improve the success of your practice under this reimbursement model. recognizing the impact… If performed with diligence, contracting with third-party payers is a tedious and consuming task. Reviewing contract requirements, analyzing proposed fee schedules, and inspecting outside rules which are “part of the contract by reference,” assists a physician with knowing what he is committing to and what the third-party payer should be doing for the practice. identifying the issue… Contracts with third-party payers should be thoroughly reviewed and its implications fully comprehended. As a result of years negotiating contracts for clients, MedSupport has developed processes which examines your practice’s space in the market, pours through the contract requirements, and asks questions about opaque language. formulating the best solution… Having a partner assisting you with contact negotiations reduces the drain on you and your practice management. A contract should further the mission and success of your practice. Keep the payer in line with periodic reimbursement reviews of denials and payments to make sure that what you agreed to is being delivered by the payer. gaining acceptance… Our objective is to gain acceptance as a practice partner and not be viewed as an outsider. Our aim is to create a team with the central purpose of improving the cash flow and bottom line of the practice. doing what is right… MedSupport diligently seeks to better our clients’ operations while approaching every aspect of our engagement with compliance in mind. implementing the plan… MedSupport is available to assist the practice with examining your place in the market though data reviews, negotiating contract language and proposed fee schedules, and performing reimbursement audits to ensure that the payer is delivering.