Long Term Care (LTC)

"FAIRPAY's industry-leading processes drive a performance level that we consider a best practice. MECC's partnership with FAIRPAY is considered a very valuable solution we can offer our clients. FAIRPAY produces substantial 'hard dollar' savings for our clients by addressing the ever-increasing medical costs of lost time claims. In today's cost-conscious world, FAIRPAY Solutions' specialty bill review program is a vital resource utilized by MECC in reducing our clients' 'Total Cost of Risk.' We recommend that our clients review FAIRPAY's approach in conjunction with their existing bill review services to supplement their cost saving approaches."

— Pete Shaw, CFO, and Clairmonte Cappelle, VP Claims, Midwest Employers Casualty Company, Inc.

long term care
(LTC)

PRE-ADMISSION NEGOTIATION REFERRALS

Costs associated with injuries caused by severe physical and psychological trauma can be staggering. For work related injuries or illnesses, very few states have fee schedules or statutes governing provider charges generated by Long Term Care (LTC) Facilities. Over the course of treatment, these related costs can add up to tens of thousands of dollars.

FAIRPAY Solutions is dedicated to assisting our clients in combating significant Long Term Care (LTC) costs. FAIRPAY’s Long Term Care (LTC) specialists leverage our data expertise, housed in FAIRPAY’s comprehensive and proprietary databases, when negotiating both services and corresponding supply costs.

WHAT IS LONG TERM CARE?
According to U.S. Department of Health & Human Services, Long Term Care (LTC) is defined as any post acute care Inpatient admission with an anticipated stay of 30 days or longer, including but not limited to:

Any Discharge to a Long Term Care (LTC) Facility (Discharge Code 62)

Rehabilitation or Psychiatric Care

INDUSTRY-LEADING COST CONTAINMENT
Launched in 2010, FAIRPAY’s Long Term Care (LTC) Service augments negotiation expertise with a greater understanding of provider billing practices. To date, this unique approach that engages the patient’s family and the client in the facility selection process has saved more than $10 million.

ENHANCED SAVINGS & STREAMLINED DELIVERY
In many cases, FAIRPAY Solutions’ Long Term Care (LTC) negotiators can achieve savings up to 55%. For multi-year treatment plans, this can translate into millions of dollars. FAIRPAY:

Achieves greater savings on Per Diem rates with up-front negotiation.

Assists the claims professional in accurately setting medical reserves.

Saves time, allowing claims and medical management professionals to concentrate on other areas of the claim where their expertise lies.

Improves dialogue between all stakeholders by sharing documentation, treatment plans and medical information.

Reduces provider friction by obtaining formal signed agreements.

MAXIMIZE YOUR SAVINGS TODAY
Contact FAIRPAY Solutions for more information on Long Term Care (LTC) services.

FAIRPAY Solutions, 14295 Midway Rd. Suite 300, Addison, Texas 75001 1.888.847.5215