Understanding Payment Reviews


Medicaid managed care

Sometimes payment reviews are a necessary part of ensuring contract compliance. As such, you can view payment reviews as a necessary evil in the health field today. This is particularly true whenever you’re dealing with managed care because you never know when you’ll come across either a doctor or a hospital that will try to make money whenever they happen to find a loophole in things. For this reason, there are companies that actually specialize in carrying out a managed care review, which ensures that these doctors and hospitals are adhering to payment compliance.

Whenever payment reviews are conducted and something is found to have been amiss or to have gone awry, it’s important to undergo revenue recovery. While this is a tough process to go through, it is also a very important process. It is herein that we are able to rest assured that we are not overpaying for the healthcare services that we do receive. So, the next time you hear someone grumbling about payment reviews, keep this in mind. You may even want to bring this to their attention but only if you happen to feel comfortable enough to do this. Good refereneces.


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