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A Revenue Generating Software
Are you capturing all contract exclusions?
If no, what is that cost each month?
Is facility tight in monitoring approved therapy limits of managed care contracts?
If no, what is the cost of therapy services vs. what is reimbursed by plans?
Is there an authorization and/or an extended authorization for each managed care patient?
If no, how much money is sitting in billing buckets (unpaid claims) due to no auth?
Are patients being managed daily for change of condition?
If no, what is loss in increased reimbursement for an increased level of care? Yet we are providing services to patient at higher acuity.
Do you know your contracts? Does appropriate staff have access to them?
If no, what is the price of not being aware of contract rates, exclusions, business terms, etc.
Managed Care MASTER = Managed Care SOLUTIONS
MCM sits on top of the EMR and collects all of the major data points for Case Managers - without creating duplicate files!
Stay organzied. Stay on top of your patients. Stay on top of your billing, all with one software.