Outdated contracts are the primary reason providers are in the red with managed care reimbursement. The lack of understanding how to maximize the contract is a close second.
How do your current contracts stand against the others in your field and area? Do you have contracts with all the big players in your area?
Good Contracts + Strong Case Management = Full Revenue - WE HAVE A PROVEN FORMULA FOR MANAGED CARE SUCCESS!
Case Management is the use of evidence-based best practices to diligently track a patient’s care, throughout their stay. Capturing change in acuity and identiyfing contract exclusions are crucial to ensuring the facility is maximizing its managed care contracts.
Case management consulting from Mix Solutions will augment your team’s strengths and shore up any weaknesses. By its very nature, caring for patients in a post-acute setting is challenging. Managed care adds a whole new layer to this challenge.
Our case management services equip your facilities with best practices and tools for personnel, processes, information technology, and more. Your staff will use these best practices, yield maximum reimbursement andgain efficiency throughout the workflow
Lost revenue happens regularly and isn’t visible in a P&L!
· Missed increased skilled levels
· Missed exclusions
· Incomplete Benefit Verification
· Loss of timely paid co-pay billing, and more
Recover your patient care expenses and see your profits improve.
Mix Solutions Has Relationships with Key National and Regional Managed Care Payors
A Partial List:
The Great Shift continues pushing more lives from FFS to Managed Care. And Managed Care is transitioning from PDPM to Levels of Care for contract reimbursement. ARE YOU PREPARED?
If penetration is over 25% it is time to take action. Our team is here to help.
Contact us today so we can help strengthen your business and its managed care margins!