Managed Care Contracting
Physician Credentialing
The opportunity to gain access to managed care patient populations begins with physician credentialing. Managed care payors only contract with credentialed providers. MedBill Partner can complete this important requirement for you.
Service Matrix And Reimbursement
MedBillPartner, Inc has assisted many healthcare providers in maximizing the benefit of participating in the managed care environment. We will conduct a risk vs. reward assessment of the patient population and service requirements being offered. MedBillPartner, Inc has considerable experience in negotiating favorable capitation rates, excluded services, fee-for-service carve-outs and reimbursement levels, and stop-loss risk levels.
Annual Actuarial Review & Contract Renegotiation
When the time for contract renewal nears, MedBillPartner Inc can produce actuarial statistics from past patient encounters to leverage your position during renegotiation.