All LTC Contracting staff have a billing background, and a thorough knowledge of the reimbursement and contract terms.
They take care of the contract negotiations and understand the full process of how a facility must handle each point of time prior to obtaining contracts, while processing, and upon receipt. They are aware of the possible healthcare contracting concerns that may arise down the line, and prepare for these matters by including proper terms and language into each contract.
LTC Contracting not only communicates via ongoing reports of all progress made on each contract, they are in constant contact with the facility admissions staff to know who they can accept and how to go about getting approved to accept these residents.
LTC Contracting offers a secure online based portal that classifies all Managed care contracts by insurer and product. This enables the admission staff to have a quick overview of in network payers and the criteria for each level of reimbursement on the tip of their fingers.
Prior to any application submitted, each facility is researched through all gathered govt. and insurer data, as well as a market study based off comparable locations, facility services and specialties, and recent market activity.
Upon beginning with either a Managed Care contract or credentialing matter, all activities are then logged and reported to client regularly, so progress can be followed. Facility staff receive a similar progress log, so they are aware at all times of where they stand regarding both admissions, and reimbursement.
Once a facility is contracted, expiration dates and termination dates are logged. An alert will be sent out when a renewal is necessary, or when a contract awaiting adjustment is open for negotiations.
Prior to requesting client consent and signature of a contract each contract is reviewed against a 16 point checklist, so no term or exclusion is overlooked. Only once approved by our contracting specialist, is it approved for client signature.