Benefits

The Benefits of Working with NorthCoast

NORTHCOAST provides one major communication link with ease of access for integrated home health services including home infusion and hospice. Additional benefits of working with NORTHCOAST include:

• Network management providing credentialing and contracting of providers
• Verification of insurance benefits prior to starting care and monthly reverification done by seasoned NorthCoast staff
• Nurse case managers working cooperatively to provide the appropriate level of service within the patient’s benefits while focusing on meeting the patient’s needs
• Patient management guidelines administered fairly and consistently
• Nurse case managers available 24/7 facilitating after-hours and weekend discharges
• Focus on payor and patient needs
• Claims processed and submitted electronically in HIPAA compliant format utilizing standardized coding
• Uniform data collection and analysis for outcome measurement including unplanned readmissions
• Utilization oversight of healthcare benefit
• Disease management programs such as Heart Failure reducing both hospital readmissions and ER utilization.
• Problem resolution with patients and providers.
• Extensive history of coordination, management, and provision of service for Anthem Blue Cross and Blue Shield, Prudential, Medical Mutual of Ohio, United Healthcare, and other payer organizations.
• Operational efficiencies reducing administrative costs and generating cost savings for third party payors.
• Management team with many years of experience in home health, infusion, and hospice
• Case managers and pharmacists experienced in home care and home infusion
• Operational standards supporting NCQA and HEDIS guidelines.
• Proven provider satisfaction