Claims Recovery and Management

Given the complexities of the varied managed care organizations, coupled with intricate and detailed contracts, fee schedules and capitation agreements, it's not surprising that claims are not infrequently paid in error-sometimes to the tune of hundreds of thousands of dollars per provider. MCR has the expertise to evaluate your claims payment system and develop a management plan, one that you run yourself, or one that MCR manages for you. Areas of concern include the following:

  • Identification of claims errors
  • Contestations
  • Claims analysis
  • Recovery of incorrect claims payments
  • Overpayment analysis
  • Patterns of treatment
  • Fraud and abuses assessment
  • Identification of up-coding and unbundling

Interested in one of these areas? Need more information or answers to your questions? Call, email or write us at:

Managed Care Resources, Inc.
1141 Laurie Lane
Burr Ridge, IL 60527 U.S.A.

Telephone: (630) 325-6543 ____ Fax: (630) 325-6512
Email: info@mcres.com


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