About Managed Care Partners
Reimbursement & Payment Integrity
Know What You Should Be Paid.
Verify What You Were Paid.
Managed Care Partners helps rural hospitals turn payer contracts into measurable financial performance by connecting negotiated terms with actual reimbursement.
Protect your revenue with stronger reimbursement oversight and payment integrity.
Focused on Rural Healthcare Since 1994
Why Payment Integrity Matters for Rural Hospitals
For rural hospitals, Critical Access Hospitals and Rural Health Clinics, every reimbursement dollar matters.
Limited internal resources can make detailed payer contract and reimbursement monitoring difficult, particularly when staff members are already responsible for multiple operational and financial priorities.
Managed Care Partners provides the specialized managed care expertise needed to evaluate reimbursement without requiring your organization to build another internal department.
Your team continues running the hospital. We help make sure your payer agreements are working the way they should.
More Than a
Traditional Consulting Relationship
We Become an Extension of Your Team.
More Than a Traditional Consulting Relationship
Reimbursement Is Part of the Contract Lifecycle
Payment integrity should not be treated as a one-time audit.
The information uncovered through reimbursement analysis can help inform future payer strategy. Recurring payment problems, implementation issues and reimbursement trends can reveal where contracts need greater clarity, where payer accountability needs to improve and where future negotiations should focus.
Managed Care Expertise Built Around Rural Healthcare
Connecting Contract Terms to Actual Payments
We evaluate reimbursement against the hospital’s contracted terms to identify areas where payments may not align with expectations.
Our reimbursement and payment integrity services help uncover issues involving:
Contracted Rates
Determine whether payer reimbursement reflects the rates established in your agreements.
Fee Schedules
Review applicable fee schedules and reimbursement methodologies for accuracy and consistency.
Payment Methodologies
Evaluate reimbursement involving DRGs, per diems, case rates, percent-of-charge arrangements and other contractual payment structures.
Contract Implementation
Identify situations where newly negotiated rates or contract changes may not have been implemented correctly.
Underpayments
Find reimbursement discrepancies that may be reducing revenue and determine where additional payer follow-up is warranted.
Recurring Payment Issues
Look beyond individual claims to identify patterns that may indicate broader reimbursement problems.
Contact Us
Managed Care Partners, Inc.
875 N. Addison Avenue
Suite 200
Elmhurst, IL 60126
Phone: 630.936.4211
Let's Discuss Your Managed Care Strategy
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Get In Touch
Managed Care Partners, Inc.
875 N. Addison Avenue
Suite 200
Elmhurst, IL 60126
630.936.4211 - phone
630.617.4222 - fax
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