MAR Funding Underwriting Benefits

Aside from the many benefits already discussed throughout these blogs, still more benefits can be found in the unique and precise manner in which Sun Capital HealthCare, Inc. (SCH) underwrites a prospective client. One would certainly ask "how can underwriting benefit my medical business/practice?"

SCH's underwriting/audit staff performs its duties for the benefit of SCH in order to determine, net collectible amount per code and carrier and to affirm strong and consistent systems and controls used by the applicant. Although SCH receives the voluminous results of each audit performed, the data and results determined can be of extreme value to the medical provider. SCH's staff has experience in finance, accounting, coding, medical compliance and business administration. So often, the audit determines that better front office controls are needed to affirm ample and proper insurance coverage. The practitioner or business owner quite often is not aware of these deficits and, following the SCH audit, will take corrective action to remediate such situations.

During past audits the SCH team has found that some in-network reimbursements have been paid at lower dollar amounts for no reason. Carriers sometimes make these errors and do not follow their own fee schedule. SCH has recovered literally tens of thousands of dollars in adjustments for the medical professional by just auditing in-network reimbursements. Once again, this is not SCH's primary business model; it is not a recovery company.

The underwriting process in most cases is free of charge with no up-front fees. The medical professional gets a free x-ray of his/her business and can gain by this process alone. Reimbursement amounts brought to the practitioner by SCH, may actually provide that business owner the ability to decline certain procedures due to low reimbursements by all carriers.

MAR Funding has many benefits, but even the process of qualifying can provide medical practitioners/owners with invaluable information and insight.