Physician Clinics
Physician clinic services are a critical component of Medicaid, requiring accurate reimbursement, effective managed care oversight, and strong program integrity to support high-quality care and responsible use of public resources. Myers & Stauffer helps state Medicaid agencies optimize physician clinic reimbursement, analyze utilization and payment data, strengthen compliance, and improve oversight through data-driven consulting and Medicaid program expertise.
Strengthening Oversight of Medicaid Managed Care Physician Clinic Services
Physician clinic services are a core component of Medicaid programs, providing primary and specialty care across a wide range of settings. These services are typically reimbursed through fee schedules and managed care arrangements, requiring ongoing oversight to ensure appropriate payment and utilization.
Myers & Stauffer supports state agencies in evaluating and overseeing physician clinic services through reimbursement analysis, data validation, and program integrity activities. Our work helps agencies ensure that payments are accurate, policies are consistently applied, and utilization aligns with program expectations.
Where We Support Physician Clinics
We assist agencies in evaluating physician reimbursement methodologies across fee-for-service and managed care delivery systems.
Our services include:
Physician services are often delivered through managed care arrangements, requiring coordination between state agencies and managed care organizations.
We support agencies through:
Physician clinic services can present risks related to billing practices, coding, and utilization patterns.
Our work includes:
We provide data-driven insights to support effective management of physician services within Medicaid programs.
Our services include:
Supporting Medicaid Program Oversight
Our work related to physician clinic services is part of a broader approach to Medicaid program oversight, including reimbursement, managed care, and program integrity.
Connect With Our Team
Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.
Jared Duzan, CFE
Principal
Email: jduzan@mslc.com
Phone Number: 317-409-4194
Tim Guerrant, CPA
Member
Email: tguerrant@mslc.com
Phone Number: 317-815-2935
Ryan Farrell, CFE
Principal
Email: rfarrell@mslc.com
Phone Number: 512-342-0800
Mike Johnson, CPA, CFE
Member
Email: mjohnson@mslc.com
Phone Number: 404-524-0775
In the Words of our Clients…
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