Are you treating your contracted Medicaid Managed Care Plans (MCPs) like customers—a relationship that must be valued, nurtured, and constantly maintained? If not, it's time to shift your mindset. Just like with any customer relationship, the key to success is understanding their needs—and then finding ways to meet them. So, the question is: What do [...]

Nothing strikes fear into the heart of an Executive Director quite like the news that a Managed Care Organization (MCO) is coming to conduct a clinical audit! It’s important to remember that MCOs have a mission: to "bend the cost curve" on behalf of their client—the Ohio Department of Medicaid. Their role is to ensure [...]

For most clinicians, administrative tasks are not what they went to school for!  They are interested in working with their clients and their clients' families. Unfortunately, administrative tasks are a fact of life in our practices and to neglect them invites revenue disruption! Many third-party payers (both Medicaid and Commercial) have streamlined their credentialing and [...]