When A Managed Care Review May Be Necessary


Managed care auditing

As a medical practice, you take serious matters affecting your overall operations into consideration. One such area should be with a review of your managed care processes. Consider a managed care review, then, if your practice is not functioning like it should. Sometimes it takes a while for all units perform well, so if your practice is new or has undergone several changes recently a managed care review could be in order. It could find answers to some of the problems you are currently having with your practice, ranging from accounts receivables to workers compensation issues.

Consider a managed care review as well if your practice is at a level at which more of an outsider’s perspective is required. Perhaps you started your practice years ago, and it was very basic back then. But you have grown, and now you have more things to worry about and less time to devote to the inner workings of gathering payments and of generally running your practice. Rather than figure out payment compliance yourself or rather than uncover the best tips on revenue recovery processes, you could fare much better with a managed care review.

Consider a managed care review lastly if your practice is on the verge of losing significant business due to poorly run care. Contract compliance is tough, as are payment reviews, but this does not mean you can avoid them entirely. Instead, get a review and understand where you are with everything. It could improve how your practice operates.