M.A.C. Medical Arbitrations & Collections
M.A.C.
M.A.C. provides arbitration experts to handle all administrative functions necessary to arbitrate your unpaid out of network medical insurance claims. Our experts work diligently to gather the facts and supporting documents needed to prepare the claim for arbitration and negotiate a settlement. Our experienced staff will identify the most beneficial IDR entities to arbitrate your disputes. They will create compelling briefs based on the facts and argue for the highest reimbursement possible. At all times our team ensures clients are kept abreast of the status of the dispute resolution process. We handle all paperwork, fact gathering, and preparation needed to oversee and manage the successful outcome of any arbitration with full transparency for the client.
M.A.C. specializes in providing a full-service arbitration program for out of network surgical claims. We arbitrate with all commercial insurance carriers. At M.A.C., our mediators work diligently every step of the way, from pre-arbitration negotiation calls to post-arbitration collection follow-up, ensuring your practice receives the quickest resolution possible to a payment dispute. We have a 98% success rate with out of network surgery arbitrations. We have developed proprietary artificial intelligence arbitration software that produces timely, accurate, and compelling brief information for an efficient, mistake proof, arbitration process.
M.A.C. provides specific and operational guidance to surgeons on complying with all out of network medical bill arbitration processes. We help practices strategize for the independent dispute resolution process and maximize reimbursement methodologies for their surgical services. M.A.C. can aggregate data from past cases, identify trends, and analyze outcomes. This information can help you understand all opportunities, industry standards, and best practices, informing strategic business decision-making. M.A.C. will ease compliance burdens and help you make better decisions that will speed up and dramatically increase your practices cash flow.
Strategic Analysis
M.A.C. utilizes sophisticated artificial intelligence metrics, and in-depth reporting services to help clients measure and evaluate the effectiveness of their out of network arbitrations and collection processes. Through our custom workflow and reporting systems, clients can design unique dashboards that help save time, money and resources. M.A.C. works with our clients to analyze results and make recommendations on how to improve their revenue cycle management via the arbitration process.
M.A.C. provides customers with access to an internet-based desktop application that grants appointed users access to their arbitration claims information from our central server via an encrypted secure portal link. Our information management system dynamically links customers with the claim data and a vast array of reports necessary to fully analyze the status of their arbitration accounts receivable. From the start of the arbitration process to the final collection of awards, our data management system is designed to centralize, share, manage and protect vital information throughout its lifecycle. Customers have complete transparency at all times. We value the trust our users place in our ability to manage and safeguard their patient data. Servers are hosted in a Data Center with SAS 70 Certification. Firewall protection, 24-hour monitoring, and locked server cages to ensure "best practices" for the physical security of patient data.
AI WORKFLOWS
Working together, Artificial Intelligence (AI) and humans with vast real-world experience in arbitrations result in the optimum outcomes for clients. The speed, timeliness, scalability, and consistency of AI is a formidable and necessary tool for dealing with multi billion dollar insurance companies during the arbitration process.
PAYMENTS
A survey of 48,000 physicians found that 52% of federal No Surprises Act (NSA) awards by the IDR system were not being remitted by payers. M.A.C. has a NSA post award recovery rate of 100%. M.A.C. works closely with CMS who does not hesitate to use it's immense authority to impose civil monetary penalties on a non-compliant insurer.
Introduction:
Welcome to our tailored arbitration services designed to support surgeons in navigating out of network billing disputes under the federal No Surprises Act and state surprise billing laws. As a healthcare provider, you face the complexities of medical billing daily, and these laws have introduced new challenges in ensuring fair compensation for your services. In this article, we'll explore how our specialized arbitration services can empower physicians like you to efficiently resolve surprise medical bill disputes and uphold the highest standards of patient care.
Understanding the Federal No Surprises Act:
The No Surprises Act, enacted in 2022, represents a pivotal development in healthcare legislation aimed at protecting patients from unforeseen medical bills, particularly those resulting from out-of-network care. Among its provisions, the act establishes guidelines for arbitration when providers and insurers reach an impasse in reimbursement negotiations.
Benefits of Partnering with Our Arbitration Services:
By partnering with our arbitration services, physicians can leverage the following benefits to navigate surprise medical bill disputes with confidence:
1. Expert Guidance: Our team comprises seasoned legal consultants and industry experts with extensive experience in healthcare arbitration, ensuring that physicians receive expert guidance and representation throughout the process.
2. Optimal Reimbursement: We advocate vigorously on behalf of physicians to secure fair and equitable reimbursement rates, maximizing compensation for out-of-network services rendered.
3. Compliance Assurance: Our comprehensive understanding of No Surprises Act regulations and requirements ensures that arbitration proceedings are conducted in full compliance with relevant guidelines, mitigating risk and ensuring peace of mind for physicians.
4. Streamlined Resolution: We prioritize efficiency in arbitration proceedings, minimizing administrative burden and accelerating the resolution of disputes, allowing physicians to focus on delivering exceptional patient care.
5. Access to a massive amount of sample payments and previous awards to support your claims for maximum reimbursement
6. Coordination with Existing Billing Staff or External Billing Company: We work side by side with your existing in-house billing staff or external billing company. We provide them relief from the stress associated with the laborious, complex, and stringent tasks and timelines associated with arbitrating. This allows them to focus on the traditional billing and collection processes of the practice, driving efficiencies and maximizing cash flow.
Navigating Arbitration with Ease:
Physicians can navigate surprise medical bill disputes with ease by following these strategic steps in partnership with our arbitration services:
1. Collaborative Approach: Partner closely with our dedicated team to provide comprehensive documentation and insights, enabling us to build a compelling case on your behalf during arbitration proceedings.
2. Proactive Advocacy: Trust our skilled advocates to represent your interests effectively and negotiate favorable outcomes, advocating tirelessly for fair and just resolution of billing disputes.
3. Transparent Communication: Maintain open lines of communication with our team to stay informed about the progress of arbitration proceedings, ensuring that you are kept apprised of any developments or updates relevant to your case.
4. Continuous Improvement: We are committed to delivering exceptional service and welcome feedback from physicians to continually refine and enhance our arbitration services, ensuring that your needs are met with the utmost professionalism and efficacy.
Conclusion:
Our specialized arbitration services offer physicians a strategic advantage in navigating surprise medical bill disputes, empowering them to secure fair compensation for their services and uphold the integrity of the healthcare system. Take the proactive step towards resolution and partner with us to navigate out of network billing disputes with confidence and peace of mind.
For more information on partnering with us for arbitration services, please contact us today.
M.A.C.
M.A.C. will provide you with the experienced professionals to handle all your arbitration and collection needs. Call us today for free information.
We want to know your arbitration needs so that we can provide you the perfect solution. Let us know how we can help and we will tailor a solution for you.
M.A.C.
Medical Arbitration & Collections LLC
1-833-NEED-ARB
1-833-633-3272
Fax 1-833-740-4170
MACSERVICESLLC.COM
10570 S US HWY 1, SUITE 300, PORT ST. LUCIE, FL 34952
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