Medical form with stethoscope

Revenue Enhancement

Every authorization is reviewed independently, and cross referenced with your facilities Managed Care contract and the care provided for each patient – to ensure that the appropriate highest level of reimbursement is approved.

For patients receiving IV antibiotics, wound care, or expensive medication that is contractually eligible for a higher rate of reimbursement (for the patient’s whole stay or specific dates of services administered) – Case Managers obtain authorizations at the highest appropriate rate.

 

Expensive medications alerts are reviewed to identify potential carve outs for expensive/specific medications.

 

Patient stays are closely monitored and there is a constant focus on denial management – The goal is to understand the facility’s discharge plan and obtain authorization through discharge.

We'd love to see how we can help. Contact Us Today! 

Reimbursement Maximization

33 Corporate Drive Orangeburg NY 10962

Tel: 855-605-5800