MedNet MHNASM

 

Leveraged Expertise

MedNet service providers deliver superior outcomes for your claimants while protecting your bottom line through innovation, experience, advanced specialty training and clinical & business intelligence.

How do you know if an individual’s cancer treatment includes experimental or investigational drugs? What is the standard of care for a premature baby or a complicated newborn? What charges are reasonable, excessive or even unnecessary? Can hospital charges be reduced even if there is a PPO discount? How do you decide which transplant network to use?

MedNet Munich Health North AmericaSM (MedNet) was developed to answer these and other difficult claim questions for our clients.

MedNet brings together best-in-class medical case managers, transplant networks, claims negotiators and other expert service providers that have demonstrated their ability to achieve the best possible clinical and financial outcomes.

Our expertise includes:

  • Medical case management that focuses on having the right kind of care in place to manage a complicated illness or injury
  • Organ transplant networks that provide fixed fee arrangements for organ transplants at leading medical centers
  • Care of premature babies and complex newborns that uses a multi-disciplinary team of experts to resolve key issues and offer innovative evidence-based solutions
  • Critical illnesses management that results in decreased hospital admissions, increased time at home and improved patient and caregiver satisfaction
  • Bill review and audit of in-and out-of-network claims by highly skilled medical professionals who identify errors, negotiate fair reimbursement and obtain signoff from the provider
  • Renal dialysis claims management that accurately evaluates a claim and provides multiple cost-containment-settlement options
  • Physician consultants that can help determine medical necessity, experimental/investigational, length of stay and quality of care issues, set lasers and provide valuable underwriting opinions
  • Pharmacy benefits management that delivers innovative solutions and leading edge informatics which draw the line on a payer’s costs while improving the lives of individuals
  • Subrogation and overpayment recovery which uses leading edge technology and legal expertise to uncover often missing recovery opportunities
Easy access to an integrated process

The process starts with access to a team of Munich Health North America professionals that includes claims experts, specialty-trained registered nurses and an in-house physician adviser. They take a coordinated approach to managing care and controlling costs.

Our team will help you select the right combination of service providers to assure the best possible outcomes.
The end result

Whether it’s a complicated cancer case, premature baby or a high dollar hospital bill, MedNet will help you manage the care and associated claim costs.

Contact MedNet Munich Health North AmericaSM today!

 

Contact
Joann Milne
Vice President Medical Risk Management
Munich Health North America
Phone: (952) 582-1403
Fax: (952) 303-4835
JMilne@MunichHealth.com

 
Related Topics
 
External Links
»www.munichrestoploss.com
»Munich Health: Portrait
 
 
Munich Health North America is a division of Munich Reinsurance America, Inc.
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