Our Payer Contract Intelligence solution is a part of our broader Specialty Health Revenue Cycle Platform.
Enjoy reliable, accurate fee schedules, created from analysis of contracts, payer source files, and payment history, that stay current due to ongoing management and support. Compare fee schedules over time by payer, plan, and CPT. An annual chargemaster analysis identifies potential underbilling and significant changes in fee schedules. Work with confidence that invisible payer and contract issues aren’t siphoning revenue: our Fee Schedule Validation and Analysis finds and exposes these issues automatically.
Surface problematic reimbursement trends with our payer accountability reporting and claims analysis. Our proprietary software, paired with codified billing rules and intelligence, provides insight into underpayments and missed revenue. Review reimbursement patterns over time by payer, plan, and CPT. Extract data to support payer special projects. Enjoy monthly reporting to review opportunities and identify issues, including under-reimbursements.
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