P&O claims costs have risen by nearly 40% over the past decade, as shown by the cost trend for Medicare claims. POMAC can help your health plan manage and, in some cases, reduce these costs by monitoring utilization of high cost microprocessor-driven prosthetics and custom orthotics, as well as developing tailored management solutions for your P&O Provider Network. We will work with you in a partnership program to help improve the performance and efficiency of your network.
Solutions
FULL PARTNERSHIP BENEFITS
Please review below the full range of benefits in partnering with POMAC:
Simplifying the Administration of Your P&O Provider Network
We offer you a single point of contact for contracting, credentialing, and billing. Our administrative processes provide noticeable efficiency and control of your P&O Provider Network.
Enhancing Provider Coverage in Remote Areas
We can recruit new P&O Providers in rural or less populated areas, to fill coverage gaps. Prospective P&O Providers receive our outreach positively because of our industry experience and understanding.
Managing and Reducing P&O Costs
We monitor utilization of high cost micro-processor prosthetics and custom orthotics. Our claim screening results in accurate medical necessity practices and overall lower claim costs.
Ensuring Quality P&O Medical Care
We ensure recruited P&O Providers, including practitioner and office personnel, meet state licensing and national certification standards. Our quality care program requires providers to adhere to the standards set by the American Board for Certification in Orthotics, Prosthetics & Pedorthics.
Partnering with Experienced Specialists in P&O
We have over 20 years of experience in managing P&O Provider Networks, and are currently managing networks for state-wide and multi-state health plans. Our present health plan partnerships span an average of 12 years.
PROSTHETIC & ORTHOTIC CLAIMS COST TREND, 2000-2016
- ($ Millions) --- Prosthetics & Orthotics --- Total Claims Cost Trend --- CMS (NATIONAL SUMMARY DATA FILES, 2018)