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Managed Care

Expect what you Inspect.

Watermark Audit Group serves a national client base of healthcare systems, hospitals, physician practice organizations and self-funded employers providing consulting and audit services.

We focus on healthcare contract and benefits related transactions that are often overlooked because of all the Admin-i-strivia (n): This is a term we originated to describe all the seemingly countless and onerous, yet important details, necessary to maintain interactions between providers and insurers or employers and payers. In healthcare, the administrivia factor is complicated by the number of relationships with which you have to contend. Each of these relationships follows a different rule book – different payment structures – different fee schedules – different requirements ~ it can be overwhelming.

Most organizations don’t have the resources, experience, or trained personnel necessary to periodically review and audit these types of special transactions to ensure that everything is operating effectively and as intended.

That’s what we do ~ we inspect all the details to ensure your programs offer the results you expect.

Hospitals Brace for Challenges in 2010

August 17, 2010

Financial executives at most U.S. hospitals were happy to see 2009 come to a close.

While the healthcare industry fared better than the economy at large, hospital costs increased at rates higher than revenues, straining operating and total margins.

Read More >>

Hospital Services

Maximize your Managed Care Relationships

  • Contract Analysis
  • Remittance Audits
  • Training & Operational Assessments
  • Targeted Audit Projects

Physician Services

Know your practice, Know what you need to change

  • Contract Review
  • Data Collection and Analysis
  • Negotiation Strategies
  • Performance Monitoring

Employer Services

Lower costs without impacting benefits

  • Dependent Verification Audits
  • Claim Payment Auditing