Overview of Services

Managed Care contracts and other reimbursement agreements can have an enormous impact on your revenue, performance and competitiveness. Managed Care Consultants of Florida has the knowledge, experience, tools, and relationships to support you through the challenging maze of the managed care world.  We support our clients through market evaluation of  current opportunities;  preparation for the challenges of administrating the diverse processes of each managed care health plan; and information to keep you apprised of regulatory, policy, or administrative changes inherent in the delivery of health care services.

MCCFL provides a wide array of services to its clients.  We offer contracting, negotiating, credentialing, staff training, working tools, claims filing, and other support services on your behalf.  We act as your Managed Care Liaison with local, regional, and national health plans in order to address problems that can arise with contract or payment issues.  Through development of close relationships with manage care health plans, we are positioned to facilitate prompt resolutions.  You have the important work of providing quality health care services to your residents.  We endeavor to support those efforts by handling the complexity of working with the ever-expanding managed care market for you.

Knowledge and Experience

The myriad and diversity of insurance plans, product lines, provider access procedures, and competitive strategies; along with continual health plan acquisitions and industry consolidation, has shifted paradigms for providers accustomed to Traditional Medicare and Medicaid Programs. As managed care continues to penetrate the Sub-Acute, Post-Acute Rehabilitation, Skilled Nursing Care, Home Health, and Outpatient Services continuum, we believe the key to survival is knowledge and experience.

Our role is to help our clients navigate all aspects of this maze while facilitating opportunities to develop network partnerships with Health Plans to improve overall quality of care through efficient delivery of services. The growth of managed care requires a successful business strategy to ensure your organization can meet the challenges of managing the continuum of care while achieving positive financial results. Our associates have the necessary knowledge and established relationships to ensure your success in the managed care environment.

MCCFL associates have multiple years of diverse experience in long-term care operations; managed care contracting; health plan operations; case management; and reimbursement processes. We have the business relationships and managed care market knowledge needed to guide you along the managed care road map; and our expertise will strengthen the skill sets of your own staff to increase admissions into your facility and decrease risks to your accounts receivable.