Career Opportunities

The complexities of the Blue Cross Blue Shield (BCBS) reimbursement process creates the need for a high level of expertise to help obtain appropriate payment levels. The Rybar Group consultants have the necessary knowledge and experience to assist your facility in this endeavor, including several years of successful negotiation skills. Specific services include:

Cash Reconciliation Review
A data driven methodology is used to validate Front Sheet data. In addition to inpatient analysis, we recalculate outpatient screens, identify the appeal issues and prepare the necessary documentation.

Peer Group 1-4 Model / LOU Review
An analysis of the proposed Model for issues that have a potential impact on your reimbursement rate. The Model is an important factor for rate setting, making this analysis an integral part of the negotiation process.

Peer Group 5 Model Review
Our consultants will work to project the impact the new model will have on your facility. We will prepare data requests and identify strategies for negotiations.

Negotiations
We will assist your facility by either negotiating directly with BCBS on your behalf or by providing the analytical support you need to receive optimal outcomes.

Blue Cross Model Services
The Blue Cross Model is an important factor for setting reimbursement rates. We understand the workings of it and can utilize it in negotiating reimbursement and contracting issues with Blue Cross.

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