Managed Care Contract Reviews

Managed Care contract performance review is not as simple as monitoring an automated system set in place and many times underpayments still slip thru the cracks of these expensive systems. Besler Consulting has industry professionals experienced with many contract management systems and can uncover any contract underpayments trends that often go unnoticed.

 

Our Services consist of:

• Add-ons, Trailer Item and High Cost Drug Audits

• Contract Compliance Review
• Automatic renewal clause
• Inflation index
• Clear definition of all covered services,
• Definition of the timely filing guidelines,
• Remedies for noncompliance by the payer for penalties relating to late payments.

• Database Management

• Contract Matrix Development