About Managed Care Financial Strategies

The mission of Managed Care Financial Strategies, Inc. (MCFS) is to grow hospitals’ profits through the recovery of revenue that has been either written off as paid in full or categorized as bad debt.

Benefiting from 16 years of experience as Healthcare Financial Enterprises (HFE) as a provider of comprehensive claims management programs to hospitals, MCFS has sharpened the focus on identifying and recovering underpayments. We have packaged and now deliver our services as ValuMax™ Managed Care.

We recognize that Managed Care companies and contract-payers are introducing exceedingly complex contracts, shortening appeals deadlines, taking silent-PPO and other inappropriate discounts and increasingly challenging more items in each claim hospitals file. They understand the monumental task hospital revenue cycle staffs face to reconcile Managed Care and payer-contract terms with the payments hospitals receive. And, they confidently bank hospitals’ money, when hospitals fail to find and recover underpayments.

With ValuMax™ services, hospitals recover 100% of the revenue they negotiated in each payer-contract. We have modeled thousands of Managed Care and payer-contracts during the past 16 years. Last year we recovered more than $4.3 million for one of our clients, a small hospital system. We know where to look and what to look for. Our systems are fine-tuned to the complex transactional environment insurance companies create and control.

MCFS services ensure that hospitals receive their Full Contracted Revenue. The ValuMax™ Managed Care engine is proprietary. It represents an investment of more than $3 million and 16 years of input from Patient Accounts experts, claims review and billing experts, legal experts, and healthcare information systems specialists. Our methodologies and claims tracking techniques are tested and proven. These features enhance our capability to effectively model the most complex contract provisions, import multiple file formats from our clients, generate highly accurate recovery reports and quicklyrecover cash from underpayments.

MCFS has established and enjoys an exemplary reputation in the specialized field of underpayment identification and recovery. We will provide references to interested, qualified parties.

Managed Care Financial Strategies, Inc., is a subsidiary of Care Payment Systems, Inc.