fbpx

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.

To learn more about our Managed Care Contracting services, please reach out to either Nick Ficklin, Michael Montgomery or contact your local Blue & Co. Advisor.

6 Step Payor Contract Analysis

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.

Related Articles

Indiana Sales Tax Changes for Nonprofits

By: Angela Crawford, CPA, Senior Manager The recently enacted Senate Enrolled Act (SEA) 382 (2022) makes significant changes in the way not-for-profit organizations purchase and sell items exempt from sales tax. Sales tax information Bulletin 10 has been revised to reflect these changes. While sales tax-specific changes are detailed within the bulletin, here are the […]

Learn More
Facility Emergency Department Leveling | Stethoscope laying on top of financial reports | Blue & Co., LLC

Is Your Current Facility Emergency Department Leveling Process Working?

Blue & Co. has performed many Emergency Department Leveling Reviews for hospitals. The two most utilized leveling criteria are “points-based” or “intervention-based.” In either case, each hospital must determine which facility resources (or attributes) to include within its criteria, and how these resources crosswalk into ED visit levels (99281-99285). This can create significant reimbursement differences […]

Learn More
Cybersecurity in the Construction Industry

Cybersecurity in the Construction Industry

By: Tom Skoog, Cybersecurity & Data Management Practice Leader Cybersecurity for the construction industry is a growing challenge. The industry is moving towards digital connectivity, not only across the supply chain, but also ‘on site’ as more metrics related to performance, progress, and health & safety are monitored in ‘real time’. This increase in connectivity […]

Learn More

Connect with Our Team

To learn more about our services and areas of expertise, contact our team here.