Reimbursement and Payer Coverage Insights
(Commercial, Traditional Medicare, and Medicare Advantage Programs)
At Van Nielsen Healthcare Consulting, LLC, we understand that the reimbursement and payer coverage landscape is critical to revenue cycle management. Fluency of the Coding Language and appropriate Medicare Risk-Adjustment (MRA) scores impact your revenue and financial bottom-line.
Uniquely, we offer in-depth knowledge of commercial and government insurance, including Traditional Medicare as well as Medicare Advantage and capitated payments. Also, we recognize the growth of Medicare Advantage plans related to continued increase in overall Medicare healthcare cost, ongoing government support with added CMS flexibility, and expanded coverage from established and emerging payers.