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Managed Care solutions for a transitioning world of post-acute care.
Managed Care Contracting & Market Analysis
Contracting
Market Analysis
Market Analysis
Outdated contracts are the primary reason providers are in the red with managed care reimbursement.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.
Market Analysis
Market Analysis
Market Analysis
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?
LET OUR BEST PRACTICES BECOME YOURS
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
Profit & Loss Misses the Point: Hidden Lost Revenue
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.
MARKET-SMART CONTRACTS THAT MEET THE MOMENT
Mix Solutions Saves You Time and Money
- We audit your contracts to fix operational and financial vulnerabilities
- We obtain credentialing and submit documentation and applications
- We negotiate with managed care payors to deliver contracts tailored to your needs while using our knowledge of market rates
Mix Solutions Has Relationships with Key National and Regional Managed Care Payors
A Partial List:
- Aetna
- AVMed
- Blue Cross Blue Shield
- Cigna
- Highmark
- Humana
- Kaiser
- Keystone
- Meridian
- Molina
- Regence
- Superior
- Tricare
- United Health Care
- Wellcare
- Wellmed
Are You Struggling with the New Normal?
GET EDUCATED!
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!
Copyright © 2022 Mix Solutions Inc - All Rights Reserved.
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