Managed Care

Managed Care Organizations are quickly consuming market share in the Federal Medicare Reimbursement System.

During site visits, Harmony Healthcare International (HHI) is noting a trend in organizations where key players often have zero or limited understanding of the specifics of the different Managed Care contracts negotiated for the facility.

How can Harmony Healthcare International (HHI) help?

Harmony Healthcare International (HHI) has developed proprietary, comprehensive audit tools that assist with the identification and prioritization of target areas defined by the governmental agencies. These Harmony Healthcare International (HHI) audits are essential for facilities to maintain a compliant landscape and determine key educational opportunities. Harmony Healthcare International (HHI) Managed Audits serve healthcare providers with compliance oversight of MDS generated RUG data ensuring billing accuracy. Harmony HealthCARE Specialists offer strategies to best manage contracts to ensure accurate, appropriate reimbursement, as well as coordination of clinically appropriate service delivery.

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