Despite the mandate to control costs on behalf of managed care, expenditures for US healthcare has continued to outstrip the overall national income, rising around 2.4 percentage points quicker than the annual GDP since 1970. This is why payment reviews are endlessly important. Someone needs to make sure that you, as a healthcare professional, are getting paid what you deserve.
What is an HMO? In practice, an HMO is a coordinated delivery system that brings together both the financing and delivery of health care for enrollees. With a Point of Service (POS) plan, you are able to let the patient choose between an HMO and a PPO every time care is needed.
Believe it or not, many managed care health plans are provided by for profit companies. This is why employing payment reviews from a revenue recovery company is so crucial. With everyone out for themselves, someone has to make it their mission to look out for you.
There are other services that managed care review companies provide. Some techniques they employ are disease management, case management, wellness incentives, patient education, utilization management, and utilization review. Along with payment reviews, payment compliance companies offer an abundance of helpful services.
With companies that offer payment reviews, make sure that for profit insurance companies are held accountable. Employ payment reviews and find out what it feels like to have someone on your side.