MPV Announces Contract with Fallon Clinic
Worcester, Mass.-based medical group will deploy MPV Phynance™ to help manage its payor contracts and identify payment variances
SAN ANTONIO, Texas. – August 9, 2005 – Medical Present Value, Inc. (MPV), the leading provider of contract modeling services and claims auditing software to maximize reimbursement for medical groups, today announced that Fallon Clinic, the largest privately held group practice in central Massachusetts, has selected MPV Phynance to help identify, appeal and recover contractually underpaid claims.
The 250-physician multi-specialty group will use MPV Phynance to fully define the complex terms of its payor contracts, including the many variables and payment policies that determine the value of its medical claims. By modeling contracts this way, Fallon Clinic will be able to determine if it is being paid in accordance with the terms of its payor contracts for the services it provides at its nearly 30 locations. Fallon Clinic can also use this data to monitor overall contract performance for future negotiations with payors.
“We suspect that our group has potentially lost significant revenue to underpaid claims, but have had no way to verify this,” said Bruce Plummer, chief financial officer at Fallon Clinic. “MPV Phynance will enable us to identify underpayments and will provide the information required to support Fallon Clinic’s appeals process.”
MPV’s highly trained contract analyst team models payor contracts into the MPV Phynance application, which then values and verifies healthcare claims according to the terms of each individual payor contract. The team also maintains a database of client-specific contract terms, fee schedules and payment policies and continually updates Medicare, state and other payment rules to ensure claim pricing is accurate.
“Fallon Clinic has a reputation for excellence, and we are pleased to add them to our growing list of clients,” said Jamo Rubin, M.D., president of MPV. “Their use of MPV Phynance will allow them to ensure more accurate reimbursement, increase revenue and improve cash flow.”
About MPV
MPV, headquartered in San Antonio, Texas, enables medical groups to increase revenue and reduce payment cycle times through contract modeling services and claims auditing software that ensure medical claims are paid accurately according to their payor contracts. Founded in 1996, the company is privately held and serves physician organizations across the United States. For more information, please visit www.mpv.com.
Contact:
Medical Present Value, Inc. (MPV)
Merideth Fulton
512.439.0201
mfulton@mpv.com
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