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“CHC was able to build my entire managed care portfolio when I opened my new office”
-Mark M. Casillas, MD
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With over 40 years combined experience and two divisions to the company, Custom Healthcare Consulting (“CHC”) can be a value added benefit to you and your organization. CHC’s “Network Outsourcing” division assists Managed Care Organizations with network development needs by offering a wide range of product experience and understanding of managed care contracting dynamics throughout the United States. CHC’s “Provider Consulting” division is designed to maintain Provider’s managed care contract portfolios while providing long term solutions to the business needs of the practice.
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Managed Healthcare Consulting
Healthplan Negotiations
Practice Assessment
Business Analysis
Revenue Optimization
Physician Credentialing
Implementation
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A significant amount of costs, in terms of time and resources, are associated with the effective management of existing and new contractual relationships with third party payers. CHC relieves office staff of the need to manage these contractual relationships and focus on their primary responsibilities. In many cases, this includes: patient care, patient relations, filing of claims, and account receivables. CHC’s services ensure best practices are followed without the need to reinvent existing day-to-day operational workflows and bring additional revenue opportunities to the organization.
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Managed Care Organization’s (MCO’s) network development teams continue to struggle with the need to fulfill immediate provider contracting initiatives. Time sensitive deadlines, limited network development staff, and restricted budgets are typically associated with such initiatives. Complimented with the requirement for regular network maintenance and provider relation activities, MCO’s often fail to reach the project’s original goals and objectives.
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