Radiation oncology, medical oncology, and surgical oncology practices face growing revenue challenges. Ever-changing fee schedules, varying reimbursement models, and lack of real-time data result in underpayments, underfillings, and require additional resources to recover the associated revenue.
AC3’s Contract Intelligence and Payment Integrity solution solves these challenges with a unique, tech-driven approach. We help practices like yours recover revenue and reduce the administrative load, all with the goal of keeping practitioners focused on their practice — not on billing and collections.
Our Contract Intelligence and Payment Integrity solution offering is a part of our broader Oncology Intelligence Platform.
Ensure your practice stays ahead of fee schedules and remove the hassle of dealing with endless payer and contract issues. Staying on top of quarterly — and sometimes monthly — fee schedule changes is a tedious, meticulous chore, compounded by the dozens of different fee schedules under just one contract. With our Fee Schedule and Contract Management solution, experience the assurance of accurate and up-to-date fee schedules, continually updated through proactive, ongoing management and dedicated support.
We validate and interpret several variations and all payer contract variables are captured and loaded, including filing limits, appeal limits, and care out codes.
We maintain fee schedules in real time. If a payer updates their reimbursement rates monthly, we update it monthly in our system. Validated fee schedules mean that you’ll have predictable revenue and can run your practice accurately and make budget-based decisions.
We offer chargemaster audits and analysis, providing insights into code utilization, service trends, and costs, along with a payer contract matrix to resolve revenue cycle issues and negotiate better fee schedules.
Our claims analytics technology evaluates claims faster, with greater detail and more accuracy than any manual process, providing transparent transaction-level claim analysis. This illuminates opportunities to recover revenue that would have remained invisible under current processes.
Included in our claims analysis capabilities are underpayment validation, underbilling validation, posting error detection, and registration error detection, all aimed at identifying money left on the table. Additionally, we collaborate with your practice to imrpove existing workflows. Identifying underpayments is another part of the puzzle. We provide powerful tools for both high-value transactions and lower-value, high-frequency transactions. While some practices opt to handle underpayment recovery independently, AC3 can provide assistance by identifying operational issues and facilitating claim refiling.
Our solution identifies and recovers underpaid transactions, and you receive clear, transparent reporting on recovery and performance.
Whether your practice specializes in medical oncology, radiation oncology, or surgical oncology, AC3 delivers Contract Intelligence and Payment Integrity that simplify your operations and improve your revenue recovery.
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