UCLA Faculty Practice Group Selects MPV for Payor Contract Management

Medical Present Value, Inc. (MPV), a leading provider of financial tools and expert services to manage payor contracts and audit reimbursement, today announced a new contract with the University of California, Los Angeles, (UCLA) Faculty Practice Group, a 1,200-plus member academic practice.

As one of the largest physician groups in the competitive Southern California healthcare market, the UCLA Faculty Practice Group will partner with MPV to gain the necessary understanding of the complex terms outlined in its payor contracts, including the many variables and payment policies that determine the value of its medical claims. MPV?s team of highly trained contract analysts will define and model the terms of each individual payor contract into the Web-based MPV Phynance application, enabling the group to better identify and appeal underpayments as well as detect potential registration and posting errors.

MPV?s approach to payor contract management supports efficient revenue cycle management processes and will enable the UCLA Faculty Practice Group to verify claim payments at the line-item level. ?We process more than 100,000 payment-related transactions a week, so our primary need was to streamline the payment variance and short-pay appeal process. We also needed a robust and flexible application to improve identification of payment errors and reduce associated overhead costs. Through our partnership with MPV, we expect to efficiently identify payment patterns across the entire group practice, allowing us to aggregate variances and appeal in bulk, leading to improved cash flow,? said Jim Shultz, COO of the UCLA Faculty Practice Group. ?In addition, MPV?s contract modeling module is expected to help us more effectively target rate outliers and strategic service lines as we re-negotiate our contracts.?

?For groups like the UCLA Faculty Practice Group, MPV?s unique approach to payor contract management delivers the data required to reduce payment errors and improve overall contract performance,? said Tom Stampiglia, CEO of MPV. ?The end result is a stronger bottom line, as well as more efficient processes for front- and back-office personnel.?