• Visibility of revenue leaks
Managed Care Reimbursement Management Solutions
Managed Care is very complicated. Payor contracts are difficult to understand, often resulting in denied claims and revenue leaks. And with looming increases in Managed Care census, additional labor will be expected as Managed Care rises. We provide options to the Long Term Care industry for you to address the effects of increased Managed Care.
The proactive approach
Our Smart Case Manager solution is bolted onto your EMR and Therapy system, allowing the ultimate tools for your Case Managers and/or MDS Coordinators. Your staff will find greater efficiencies managing caseloads daily, while using our technology to capture every billable opportunity based on your payor contracts.
Not ready for technology?
With Smart Recovery, we complement your billing staff by reviewing aged claims and paid claims in an effort to identify and recovery reimbursements from denied claims and underpaid claims. We help to recover older claims before they become bad-debt write-offs.