MPV Announces New Contracts with Six Medical Groups to Audit Reimbursement and Reduce Patient Bad Debt

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Tue May 19, 2009 9:00am EDT

Use of MPV Contract Management will enable groups to verify reimbursement at
line-item level and monitor payer compliance
AUSTIN, Texas--(Business Wire)--
Medical Present Value, Inc. (MPV) today announced six medical groups have
selected MPV Contract Management, a Web-based application that enables practices
to audit reimbursement and payer performance based on individual client contract
terms, the latest payment rules and payer adjudication logic. 

The healthcare organizations, which range in size and specialty, include:

* Florida Cancer Specialists, a Ft. Myers, Fla. group with 63 providers in 26
locations; 
* Will County Medical Associates, S.C., a 33-physician, Joliet, Ill.-based
multi-specialty group; 
* Panorama Orthopedics & Spine Center, a practice with 23 providers located in
Golden, Colo.; 
* Webster Orthopaedic Medical Group, a 14-physician practice based in San Ramon,
Calif.; 
* Mid-Maryland Musculoskeletal Institute, a Frederick, Md.-based group with 11
physicians; and 
* Vail Summit Orthopaedics, a nine-provider practice with locations in Vail,
Frisco and Edwards, Colo.

"In today's medical reimbursement environment, it is important for us to ensure
that we receive accurate payment for the services we provide, and our current
manual process leaves a margin for error that can negatively impact our bottom
line," said Eric Worthan, CEO of Panorama Orthopedics & Spine Center. "MPV`s
knowledge and experience in this complex environment make them the perfect
partner. By utilizing MPV Contract Management, we will improve the accuracy with
which we identify underpayments." 

With MPV Contract Management, the physician practices will be able to improve
payer contract performance and better monitor payer compliance by verifying
claims at the line-item level. Additionally, they will be able automate
processes related to payer adjudication management and oversight, including
payer variance appeals and evaluation of new and proposed contract terms. By
modeling proposed payer contract terms in the system, groups are able to develop
negotiation strategies based on the services that will have the greatest impact
on reimbursement. 

"We knew there was significant opportunity to recover underpayments from our
payers, but we needed a tool that would automate the process so that we did not
tie up valuable resources," said Christine Pope, CFO of Will County Medical
Associates. "It became clear that MPV Contract Management was the tool we need
to efficiently pursue even the smallest payment variance, optimize our revenue
and ensure that we are being paid according to contract terms." 

MPV Contract Management also enables healthcare organizations to determine a
patient`s out-of-pocket expenses prior to service, leading to improved
patient-provider communications and reduced patient bad debt. 

About MPV

MPV helps medical groups to maximize practice revenue and meet the demands of
healthcare consumers by combining technology and consultative services to fully
automate eligibility verification; reduce patient write-offs; monitor payer
contract compliance; recover underpayments and negotiate better contracts. 





MPV
Merideth Wilson, 512-439-0201
mwilson@mpv.com



Copyright Business Wire 2009

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