About Clinical Specialties
Since 1996 Clinical Specialties has been adding value to the traditional home health network model for patents, payers and providers. Starting out over 20 years ago to support the home health needs of our local pharmacy infusion patients, we have expanded to a Network of 500+ credentialed home care providers in OH, IN, KY, MI and IL. Clinical Specialties is owned by Option Care Health – the largest independent home and alternate site infusion service provider in the United States. Clinical Specialties operates as a line of business under Option Care Health and continues to support the home care needs of patients by linking providers and payers and aligning care for skilled nursing, therapies, and hospice.
20+
years partnering with home healthcare providers
98%
provider retention rate1References:
1. Clinical Specialties has earned a reputation for high quality patient interaction and outcomes by building and maintaining strong, long-term relationships with all of our partners. We’re proud that over 98% of our contracted network agencies have remained with us over the past five years.
2.4M+
home health visits processed in 20181References:
1. Clinical Specialties has earned a reputation for high quality patient interaction and outcomes by building and maintaining strong, long-term relationships with all of our partners. We’re proud that over 98% of our contracted network agencies have remained with us over the past five years.
500+
home health providers participating in the region1References:
1. Clinical Specialties has earned a reputation for high quality patient interaction and outcomes by building and maintaining strong, long-term relationships with all of our partners. We’re proud that over 98% of our contracted network agencies have remained with us over the past five years.
面向患者
Clinical Specialties offers:
- Care coordination to align you with the “best” home care companies throughout our service area to provide for a full array of needs including skilled nursing, skilled therapies, and hospice support.
- Detailed benefit verification and authorizations to confirm the appropriate care and covered services
We are dedicated to providing quality home health care and making your transition to home care, comfortable, and easy.
面向提供者
(Home Care Providers)
Clinical Specialties can assist with:
- Expanding your referral base
- Gaining access to multiple Commercial and Medicare Advantage plans through one single contract
- Coordination of eligibility, benefits and authorizations
- Clinical Specialties performs member eligibility, benefit verification and service authorization function on your behalf.
- Providing online tools for real time communication of referral and authorizations
- Claims Management
- Rather than having to manage continuously changing rules that differ from payer to payer, our network agency partners benefit from a single set of billing rules and processes. Our extensive experience with the payers enables us to submit clean claims quickly, allowing for timely processing and payment. If a claim issue should arise, we manage the resolution process with the payer.
- Decreasing your administrative costs and burden
- Save time and resources by allowing us to manage time-intensive interactions with payers to meet specific and sometimes unique requirements
- Providing ongoing training and support for all of our agencies
面向合作伙伴
(Payers)
- Delegated credentialing and ongoing data maintenance consistent with NCQA standards
- Contract management
- Network quality monitoring and reporting
- Provider training and education regarding payer programs and policies
- CSI reduces out of network costs through referral management, statewide coverage, and absorption of out of network provider charges
- CSI handles all aspects of provider customer service including billing, claims status and payment questions
- CSI aggregates all provider claim submissions reducing payer claim issues and ensuring clean claims
- Development and implementation of successful care management programs resulting in, reductions of hospital re-admissions and corresponding costs while improving outcomes
- Under this section should we add below info?
- Discharge Planners/Case Managers
Provider Network Request
查找地点
6288 Hudson Crossing Parkway, Hudson OH 44236
Phone : 888-873-8999
Fax: 440-550-8835
Email: agencyupdategroup@optioncare.com