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Managed Care Contracting Services

Outsource Managed Care Contracting Services

Our certified managed care contracting agents review & analyze pricing data and other information to arrive at insights to help you overcome denials and increase revenue at rates starting at $1280 per FTE per month

Are you maintaining a healthy margin in hospital revenue? Are you frustrated with the monumental task of cost negotiation with locally managed care companies? Maybe you are not getting sufficiently paid due to a lack of benchmarking and compliance with the best practices. If you want to get reimbursed for the managed care services from payers, you're better off outsourcing managed care contracting services to Outsource2india. That's because we have a team of qualified performance advisory experts who spend a great deal of effort and time to ensure that your payment in on-time. How do we do it better? Everything from preparation and analysis to negotiation is handled professionally to ensure you are aligned with top payers and if needed, enhance the payer relationship.

Outsource2india has over 22 years of experience in providing managed care contracting services to clients far and wide. With various specializations, we catch errors in nascent stages and ensure it doesn't become a stumbling block in the contracting process. So outsource today and get our services at reasonable rates.

Managed Care Contracting Services

As an established managed care contracting services providing company, we provide a range of coding services to our clients. The most important services among them include -

  1. Reimbursement Benchmarking

    Reimbursement Benchmarking

    We will start by assessing the reimbursements across the markets but local and regional. We will identify a favorable service cost applicable to select services. We will perform a detailed evaluation of your services and benchmark the current cost by considering the strategic goals. We help you close the gap between investments and the best goals that contribute to your bottomline. Our unique approach accelerates negotiations especially when benchmark methods are unsuited.

  2. Payment and Contract Analysis

    Payment and Contract Analysis

    As demand for managed care continues to grow, most practices neglect the importance of performance monitoring. It is in such cases that lapses can lead to payment complications. So when you outsource managed care contracting services to Outsource2india, we take care of auditing the contracts and assessing the compliance with denials, payment precision, care justification, quality of care, and so on.

  3. Best Practices

    Best Practices

    To get the best out of managed care contracting, your staff must adhere to best practices that are standardized by the industry. On contract, it sounds well-founded but is rarely practiced as per the norms. This is where we come in. We scrutinize the charge updates and evaluate the timeline for claims. Wherever necessary, we will look into the process of negotiation.

  4. Negotiations

    Negotiations

    We start by making a thorough evaluation of your firm size and the findings will enable to us project your organization's capacity during negotiations or before it. Occasionally, you might not prefer a strategy that is broadly applicable across your enterprise. In such cases, we measure your risk-taking capability in the near-term and long-term and build a unique goal that will help you navigate the managed care contract.

Managed Care Contracting Process We Follow

Being a top managed care contracting service provider, we are backed by experienced and qualified staff with in-depth knowledge of the process. Our manage care contracting process consists of the following steps -

 

01. Development of Managed Care Contracting Strategy

We work with you to carry out an internal and external assessment where we evaluate current practice, payer contract performance, revenue opportunity assessment, reimbursement options, SWOT analysis, and standardize the contracting process

 

02. Negotiate Contracts

We initiate a contracting strategy with each payer, collect insights on practice cash issues, perform rate sensitivity analysis, review contract rates, and perform termination disruption analysis if the contract is not viable

 

03. Contract Implementation

We ensure accuracy of contract, integrate contract as patient information, manage the patient relationship, revenue recovery analysis, denial management, and track payer contract performance

 

04. Summarize Findings

After auditing and analysis, we will prepare a detailed report on our findings to take the research to the next stage

 

05. Submit Audit Reports

We furnish audit reports to the client for recordkeeping

Other Services You Can Benefit From

Why Outsource Managed Care Contracting Services to Outsource2india?

As a reputed managed care contracting service provider, our services offer the following benefits to our clients -

  • Affordable Solutions

    We help you achieve a holistic view of the process and cos by offering you affordable solutions that come in a custom package.

  • High-quality Contract Services to Lower Rate of Claim Denials and Rejections

    Quality is our number one priority. We take all measures to ensure the best quality results.

  • Patient Data Security

    Being a top managed care contracting company, we make sure the data is highly secure. We are compliant with the ISO 27001:2013 standards and ensure the protection of your data.

  • Improve Compliance with Regulations and Contracting Guidelines

    We comply with the HIPAA rules and other regulations to ensure compliance with the guidelines.

  • Qualified Physicians and Contracting Staff

    We have teams of qualified physicians and contracting agents with expert knowledge of the process and the contracting guidelines.

  • Scalable Services

    We offer scalable solutions and do much more to ensure solutions scalable on demand.

  • Quick Turnaround

    We work with the latest managed care contracting tools and technology to accelerate the outcome. Our team can work on priority tasks without affecting the pace of ongoing functions.

  • Reliable Customer Support

    You may get in touch with our team of qualified medical coding support agents for close-knit support to get the best of solutions including customer support.

Client Success Stories

O2I Assisted a Florida-based Medical Billing Company with ICD-10 Implementation

O2I Assisted Medical Billing Firm with ICD-10 Implementation

O2I provided management training support to a billing company based in Florida. We helped them to migrate from the ICD-9 to the ICD-10 system.

Read more
Case Study on Accounts Receivable Services

Case Study on Accounts Receivable Services

From this case study, you'll learn how we helped a healthcare company's accounts receivable and cash flow to recover.

Read more

Testimonials

Hello, I wanted to reach out to you directly and express my gratitude for the hard work that the Data team, as well as the AR team, has done with EJ practice. I have pushed both teams extremely hard over the past month and their efforts, as well as ours, have paid off.

RCM Account Manager,
EMR System Provider, FL, USA
More Testimonials »

Outsource Managed Care Contracting Services to Outsource2india

Outsource2india has over 22 years of experience in managed care contracting solutions. Over the years, we have established ourselves as an authority in various medical billing and managed care contracting process and have become the trusted partner for most renowned healthcare providers and clinics across the US. We offer more managed contracting solutions annually than most other solutions provider with a proven track record of 98 percent accuracy. Having helped clients recover heaps of due, we have guaranteed a great deal of satisfaction and you too could be part of our brand brigade.

If you are looking for managed care contracting services in India, Get in touch with our experts now.

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Whom do we serve
Healthcare practitioners
Clinics and care centers
Diagnostic labs
Hospitals
Medical Insurance companies
Medical Billing Companies
Revenue Cycle Management firms
Teleradiology centers

Our Clients

  • Alcon
    ARI
    Maximus
  • Redwood E-Learning Systems
    Yale School of Management
    Medversant
  • Loomis
    Data Infinity
    Auto MiddleEast
  • Camnet
    DMagazine
    Doctech.net
  • Eraid
    Userlytics
    Financial Planning Association of Australia
  • International Career Institute
    Carole Holding
    Crunch
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Key Differentiators Key Differentiators

Case Studies Healthcare Software

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Starts @ $1280-1440
per FTE/month

Avail best-in-class services at affordable rates

More pricing details

Get a FREE QUOTE!

Decide in 24 hours whether outsourcing will work for you.

We respect your privacy. Our Policy.

Have specific requirements? Email us at: healthcare.info@outsource2india.com

Flatworld Solutions Address

INDIA

No.6, Banaswadi Main Road, Dodda Banaswadi, Bangalore - 560 043


Corporate Court, #15, Infantry Road,
Bangalore - 560 001

PHILIPPINES

Lucita Building Lapu Lapu Cr. Sobrecarey Street, Davao City 8000

USA

116 Village Blvd, Suite 200, Princeton, NJ 08540