Third Party Management Solutions

MBS leverages practice position in the marketplace by evaluating, negotiating and enforcing third party contracts. Our services help physicians take control of managed care participation plans and appropriately align their practice in the marketplace.

Managed Care Contract Evaluation
By reviewing current and prospective contracts and evaluating the economic benefits brought to the practice, MBS can address and help rectify unsatisfactory agreements. We examine contract terms and provisions to evaluate the financial gains brought to your practice.

Contract Negotiation & Renegotiation
On your behalf, our experts can negotiate and renegotiate contract terms, such as rates and penalty clauses to secure participation in advantageous fee-for service or capitation agreements.

Contract Enforcement
Contract enforcement takes time, diligence and thorough understanding of all terms in the agreement. Our enforcement services help reduce infraction occurrences made by the carrier.

Managed Care Reimbursement Audits
Too often, managed care companies breach contract agreements by purposely denying legitimate claims and reimbursing providers at a lower rate than rightfully due. MBS will identify those instances through reporting of reimbursement results by carrier, and will take corrective measures to ensure appropriate reimbursement.

Capitation & Risk Evaluation
Participation in capitation agreements poses financial risk to any practice. MBS evaluates the costs and benefits associated with these arrangements to protect our clients from entering into unfavorable contracts.