Fiscal Intermediaries

MCare is intimately familiar with the reimbursement processes of more than15 national and regional intermediaries and has valuable experience and knowledge relating to the intricacies and nuances to successfully yield additional reimbursement revenue. 

Our goal is to realize such opportunities on behalf of our client hospitals.  Our proprietary processes and software system enables us to compile and analyze thousands of accounts in a short period of time, utilize our workflows to route claims to the appropriate staff for follow-up, correction, re-bill and resolution.

Our daily contact with fiscal intermediaries affords us a very high level of credibility.  We know our way around these organizations, and when problems arise, we move quickly to resolve them.  Furthermore, we have been successful in challenging intermediaries who initially limited the review of records to a single year, given our familiarity with CMS regulations, and the subsequent positive persuasion of such payers to MCare’s point of view.

The geographic diversity of MCare’s client base has enabled the company to establish important relationships with a number of intermediaries, including:

This national experience is particularly important as MCare already has numerous necessary DDE authorization numbers which would allow MCare to quickly return TDRG reimbursement dollars to client hospitals.