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Managed Care Support Services |
Managed Care Support Services provides the physician practices with on-going tools and reports to inform and monitor the ever changing challenges Managed Care has brought to your practice. With each of our staff members having over fifteen years of experience in the medical field, their full time attention is spent on keeping the physician practices educated and knowledgeable on fee reimbursements, contract terms, and an overview of each plan. TSMG, LLC eliminates this tedious task for each of our practices, and centralizes this process to reduce cost and time that can be more importantly spent on quality care to their patients.
Managed Care Support Services:- Liaison for on-going problem resolutions
- RBRVS Report
- Managed Care Plan Grid
- Contracted Hospital List
- Obtaining fee allowances for perspective and contracted Managed Core Plans
- Centralized area that organizations utilize for all inquiries and requests
Managed Care Fee Analysis Reports:- Tool to audit payments to be sure you are being paid at your contracted rate
- Knowing who is your highest and lowest Managed Care Plan Payor
- Provide the tools useful in negotiating allowances
- Comparing Managed Care Plans' fee allowances against Medicare & Medicaid
- On-going monitoring of Managed Care Plans' fee allowance changes
- Historical reports showing Managed Care Plans' fee allowances
Managed Care Plan Informational Reports:- Pertinent Information provided on each Managed Care Plan
- Monitored and up-dated frequently to add or make any changes
- Informative reference material for front desk, nursing, insurance and scheduling personnel
Managed Care Plan Contracts: - TSMG, LLC's contract matrix offers a comparison to the actual Managed Care Plan contract language
- TSMG, LLC submits to Managed Care Plan our TSMG questionnaire with over 30 pertinent questions to assist practices with more detailed information about the plans
- All contracts are housed at TSMG for quick and easy reference
- Audit contract for validity
- Quick reference guide for contract terms
- Contract Summary Grid
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