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Health
Plan and Payor Information
Outpatient
rehabilitation services make up a critical component in
medical management—helping patients recover from serious
illnesses and re-gain mobility that will help avoid unnecessary
hospital admissions. Health plans must select outpatient
rehabilitation providers carefully in order to obtain the
maximum value from these services provided to their members.
Health plans realize significant benefits
by contracting with PTPN, the nation’s oldest and
largest rehabilitation network consisting only of experienced
professionals in private practice.
These benefits include:
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Access
to a national network of experienced, qualified providers
who provide affordable services and cost-effective utilization.
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The convenience of dealing with one source that handles
customer service, information management, case management,
credentialing, quality assurance, and provider relations.
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- Contracting
with a network that has set the industry standard in every
area of rehabilitation contracting. PTPN offers a choice
in reimbursement options, such as negotiated fee-for-service,
case rates, and capitation, to meet the needs of the individual
health plan.
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Informational management systems and reports that offer
plans meaningful data on utilization, encounters, and patient
satisfaction.
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State-of-the-art software for managing capitated contracts
to verify patient eligibility, benefits and co-payments,
and to process claims.
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