Healthcare Consulting

Managed Care Contracting

Whether you're a solo practitioner or group practice, managed care has already changed the way you do business!

For the primary care practitioner, your role as "gatekeeper" has placed new responsibilities on the way you register and schedule your patients. For specialists, your concern must center on receiving authorizations and referrals. “Clean” billing and collecting the proper amount owed continues the challenge.

Regardless of practice type, maintaining and managing a bottom line while practicing quality medicine is one of your greatest concerns. If you find that you are practicing quality medical care, billing clients and third parties and still you don't see the financial return you were expecting, Rauch Financial may be of help to you and your staff.

Rauch Financial has significant experience negotiating all types of healthcare provider contracts. We can help you to determine your strategies, including the decision to entertain third party payers in the first place, which companies to contract with, what terms are important, whether or not the reimbursement is adequate and what your staff will need to know to implement the contract.

For existing contracts, we review reimbursement and contract terms in order to help you work through current outstanding issues and roadblocks your staff experience with third party payers.

 

Accounts Receivable Analysis

Healthcare providers are cash based businesses that need to keep the cash flowing. Rauch Financial will work with to assess current collection activity, compare key A/R indicators with national, specialty specific norms and suggest specific, detailed ways to improve your collection rate and increase cash.