Managed Care Services
More often than not, providers fail to realize the true financial benefits to properly monitoring and negotiating managed care contracts. As well, managed care contract negotiations can be a daunting responsibility due to the complexity of analyzing payor contract terms. This, of course, results in "missed" revenue opportunities which negatively impact overall financial performance.
CampbellWilson has an extensive amount of experience assisting providers with their managed care needs to include: managed care contract analysis, payor negotiation, and revenue capture.
Our solution addresses every aspect of the managed care process from developing a contracting strategy to analyzing the revenue impact of contract terms to negotiating actual contracts and resolving payment disputes.
Our consultants can provide assistance with specific components of the managed care cycle or serve as the managed care department for the hospital. Specific areas in which CampbellWilson can be of assistance include:
- Contract modeling, analysis, and language review
- Payor negotiation and negotiation support
- Market Pricing Analysis
- Managed care strategy development
- Rate benchmarking
- Payment compliance audits
- Dispute resolution and litigation support
- Operational reviews
- Managed care structure, function, and departmental design
Healthcare News
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Multi-Faceted Services Provide Multiple Savings for Research and Training Hospital
Through our comprehensive approach and reliable expertise, we helped UTHSC Tyler recover more than $6 million in additional funds.
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Recovery Audits—Are You Prepared?
Recovery Audit Contractors (RAC) will begin auditing hospitals soon, and the potential for losses is staggering.
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Medicare and Medicaid regulations are constantly changing. How can CampbellWilson help you?
CampbellWilson's multidisciplinary compliance team provides comprehensive solutions to complicated compliance issues.
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CDM: The Life Blood of Your Hospitals Revenue Cycle
With today's economy securing your Hospital's Revenue Cycle is more important than ever.
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Web Based Time Studies Boost Income
Transitioning to a web-based Time Study will save you time, money and frustrations.
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PRRB Appeals Process Changes
Stay on top of the new appeals process and cost reporting requirements.
Healthcare Provider Resources
What Our Clients are Saying
"CampbellWilson's breadth of knowledge on regulatory and finance issues allowed us to recover lost funds and discover new income streams and apply them toward these types of health care initiatives." —Vernon Moore, Vice President, Business and Finance, UTHSC at Tyler
"This is a time when being good isn't good enough. You have to have great operations. CampbellWilson staff bring a lot of experience to the table to help us in the process, and I would hire them again and would highly recommend them to other hospitals." —Keith Barber, COO and CFO, Tomball Regional Medical Center
"We want to make sure we aren't missing anything. We don't want to leave anything on the table. ...CampbellWilson staff have a special area of expertise; this is what they do day in and day out. We are very happy with their services." —William Galinsky, Assistant Executive Director of Finance, Scott & White
Endorsements
