Medical practices and Ambulatory Surgery Centers rely on Managed Care Ambassador (MCA) to navigate managed care’s complex contracting world. MCA levels the playing field for medical providers through market awareness and effective negotiations.
Contract Consulting
Healthcare remains fiercely competitive and filled with intense cost pressures. Over almost 40 years, MCA has honed unique processes that deliver optimal contracting results. A customized strategy is built using complex revenue impact scenarios. Where applicable, additional leverage is gained via a place of service arbitrage that uses competitors’ participating contract allowable values.
MCA’s proprietary workflow (algorithms) proactively manages crucial dates and ensures continuous contractual progress. MCA maintains a secure digital library of countersigned contracts, being on hand at a moment’s notice.
Payment Validation
Payers are imperfect and relatively inaccessible. MCA identifies and then resolves payment defects through successful appeals. MCA ensures all revenue earned is realized.
MCA’s greatest skill? Listening carefully to all parties to identify alignment opportunities and to mitigate misunderstandings. MCA serves a broad medical provider range.