• Coordination of Benefits (COB)
• Third Party Liability (TPL)
• Operational/Financial Due Diligence
• Claims Auditing
• HIPAA and Compliance Implementation
• Information Systems Assessment/Implementation
• Provider Contracting
• Network Development
• Practice Management
• Revenue Enhancement
• Sales and Service Training
• Marketing Plans

OPERATIONAL, FINANCIAL AND CLAIMS MANAGEMENT
It's getting harder to squeeze out that extra profit margin in your health plan or provider organization every year. You battle price competition at every turn. There are several areas for increased margin that you may not have considered. Coordination of benefits allows you to shift responsibility for payment when there is double coverage or where individuals are covered by both insurance and Medicare. Third Party Liability claims (injuries from accidents) offer you another opportunity for maximizing revenue, in the range of $0.70 to $1.00 PMPM. You must be able to identify these claims, deal with your members and their attorneys at the same time, protecting your plan's rights.

We've got you covered! We are the national experts on COB and TPL. In fact, our team wrote the chapters in The Managed Health Care Handbook.

Operational, financial and claims management all speak to your bottom line. Our team will assess, evaluate and prescribe a treatment plan to make you healthy. Our service includes an overview of departments and staff, including strengths and weaknesses. Our approach incorporates our in-depth understanding of issues and opportunities within managed care organizations, as well as physician practices and hospitals.

We offer a diverse and wide range of expertise in management, contracting, finance, information systems, network development, marketing, sales, health planning and implementation. We've helped hundreds of organizations maintain or improve their health, financially and operationally. What's more, we can perform this service as a one-time checkup or on a periodic, as-needed basis. Or if you prefer, we can show you how to get the information you need to effect change on your own.

To find out more, contact us at webmaster@scheur.com.