In this complicated healthcare environment, it’s tough to authenticate that payers are fulfilling with contract requisites. Developed on years of settlement knowledge & industry best practices, Contract Guardian healthcare contract management & analysis depicts a ground-breaking approach examining the accurateness of reimbursements obtained from 3rd party payers and make sure your contracts are settled with the most positive terms.
Authenticate Reimbursement Accuracy:
Check payer agreement with contract terms, value claims & audit payment s based on the newest payment rules & negotiation logic. This influential technology podium allows providers to administer manifold payer contracts & repayment methodologies. By precisely pricing claims and evaluating actual allowed sums to anticipated amounts, Contract Guardian’s hospital contract management software pinpoints variations quickly and effectively. Our contract management solution is developed to adjust to changes inside the industry so you can take advantages of promising reimbursement schemes and modifications in payer payment rules.
Recover Underpayments:
Efficient contract management executes contract based appeals and recuperates lost revenue with data-driven insight. Apart from offering the details required for thriving appeals & streamlining communications with clients, Contract Management recognizes sources & patterns of mistakes so any frequent problems can be resolved promptly.
Advanced Accounting:
Contract management offers you with profit cycle business intelligence than enable drill-drown & drill-through functions to expose source claim data, and also practice administration system specific data qualities.
Negotiate More Positive Terms:
Contract analysis supports the sampling of planned contract terms and adapts your negotiation plans to the aspects that impact repayment the most. Contract analysis not just assesses the monetary impacts of new & planned contracts right down to how much a single supplier could gain or lose. Also, it allows medical groups to purposefully assess overall contract performances and evaluates the possible introduction of new lines of trades.
Additional Advantages Comprise:
• Enhanced tracking of chargemaster accurateness
• Smooth workflow with claims assessing across an institute
• Lower billing & contract management expenses
• Fewer listing, coding & posting mistakes
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