Many healthcare providers are not equipped with the sophisticated software or appropriate staffing levels necessary to translate each managed care contract and calculate accurate reimbursement; but with the escalating complexity of contracts, this function is more vital to provider operations than ever before.

Managed Care Network Solutions, LLC has the expertise to enhance managed care payments through expert negotiation, financial assessment, review of contract language, administrative and medical denials. 

Scope of Services:

Managed Care Contract Assessment
Payor Network Matrix
Contract Negotiations
Managed Care Payment Audit
Reimbursement Matrix
Write Business Proformas
Business Development Strategic Plan                                                                                                                                                                                                                Credentialing
Managed Care In-Service (Staff Development)
RFP Response
Monthly Market Updates