Our Payer Contract Intelligence solution is a part of our broader Specialty Health Revenue Cycle Platform.
Our payer contract intelligence solution streamlines the contract management process. Centralize your contracts and see a comprehensive comparison of payers. Organize and index your files to make your key contract terms easy to find and have at your fingertips. See all your terms and details in the Payer Contract Matrix.
Stop falling behind on fee schedules and dealing with endless payer and contract issues. With our Fee Schedule Validation and Analysis, your practice enjoys reliable, accurate fee schedules that stay current due to ongoing management and support. Compare fee schedules over time by payer, plan, and CPT. 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 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.
Benchmark your internal KPIs with an annual payer scorecard. Understand payer performance by evaluating them on the most impactful metrics, including payer mix analysis; average days to first payment; average time to payment; payer impact analysis; denial rate; denial overturn rate; first-pass denial rate; average days to denial resolution; days in AR by payer; reimbursement per visit or procedure by payer; allowed to expected ratio; and payment to allowed ratio.
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