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, general claim information, contract terms, and an overview of each plan. TSMG 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 on each Managed Care Plan
	CD/Binders alphabetized by Managed Care Plan for easy reference
	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's contract matrix offers a comparison to the actual Managed Care Plan contract language
	TSMG 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

Hospital - ASC Credentialing | Reimbursement Audit

Tri-State Medical Group
Director of Operations Lana Lowe
One Canal Place, Suite 200
709 Clay Street
Fort Wayne, IN 46802
(260)426-1321
Fax (260)426-0270
Lana@tristatemed.com