Healthcare service providers may enter agreements with Medicare Advantage plans, commercial insurance plans, Tricare, workman’s compensation and Medicaid health plans. MCCA is well-versed with all these payer sources and works with clients to secure the most advantageous contracts and reimbursement methods.
Comprehensive Contract Management
Over the past decade, MCCA has developed strong working relationships with key insurers at local, regional, and national levels. We regularly engage with ancillary provider contracting officers and provider relationship managers to access a broad array of group contracts as well as individual client contracts. We negotiate contract rates with the flexibility for clients to join an existing MCCA network group contract or to facilitate individual contracts as new opportunities within health plan networks develop. We advocate for clients to have appropriate reimbursement throughout the negotiation process.
The MCCA team handles the entire credentialing process from start to finish. We do the heavy lifting — assembling and compiling all the credentialing (and re-credentialing) documents associated with application submissions. Our relationships with contracting officers enhance our ability to expeditiously process applications. We also work with the claims processing departments to get your contracts loaded into their systems and prompt corrective actions when necessary to minimize claims processing disruptions.
MCCA’s market analysis process quickly identifies contracting opportunities for clients. We evaluate market penetration rates by managed care health plans by county and within the context of client strengths so that we can help identify your unique care services sought by the health plans. Our teams helps develop strategic synergies for contracting that will increase market share and support your overall business growth plan.
MCCA offers a variety of customized tools to assist your admissions team with obtaining referrals and ensuring a timely transition into your setting, all while meeting provider admission requirements. Working closely with admissions and marketing, the MCCA team develops efficient processes and effective means of communication with referral sources. Having a “system” in place to educate and facilitate utilization of contracts increases your success in a competitive market.