Managed Care Contracting
How confident are you that you are getting paid fair market value for your services?
At Blue & Co., our team utilizes a six-step process to provide support throughout the entire contract review process. From reviewing your contracts, to developing a negotiation strategy, our team of experts are here to make sure you get paid what you should.
Meet our Expert
Kyle Tobbe, a Manager on the revenue cycle team, has over ten years of experience within the Managed Care Contracting world. He has experience with financial modeling, reimbursement methodologies, claims processing systems, and contract negotiations. He is a statistician by training that has leveraged that skill set to create value in managing provider contracts.
1. Guardrail Development
2. Payor Matrix Development
3. Score Matrix Against Guardrail
4. Develop Negotiation Strategy
5. Negotiate Contract
6. Update Matrix and Guardrails
For more information on this process, please fill out the form below to download our pdf handout.
On July 20th, HRSA hosted a Reporting Technical Assistance Session regarding the Provider Relief Funds Portal. A few members of the Blue & Co. team attended this online session and took away some key pieces of information that will hopefully provide some guidance to your organization as you work your way through the provider relief […]
New HCPCS codes related to consolidated billing for Skilled Nursing Facilities goes into effect, Oct. 1, 2021. CMS states that this will impact any SNF that “bill Medicare Administrative Contractors (MACs) for services provided to Medicare patients in a covered Part A stay in a SNF.” The full list of code changes are included below […]
On March 19, 2021, the Office of Management and Budget issued memorandum M-21-20 (the Memo), providing an automatic six-month extension for all single audit filings for fiscal year ends through June 30, 2021 (Appendix 3, part IX, of the Memo). For reference, here is a short list of those approaching: As mentioned above, the extension […]