Imagine a world where you can guarantee the profitability of your payer contracts, accurately predict your reimbursement rates, and easily recover lost revenue. Payment Integrity Compass makes that world a reality. Our calculation engine and reporting dashboards provide the tools you need to realize your full revenue potential across payers and all contract types.
Learn how best-practice institutions are making million-dollar gains by optimizing contract negotiations, overcoming denials, and recovering underpayments.
See where your business office is already strong—and where you should focus to boost performance.
Explore the implications of Arkansas’s episode-based payment model and learn how to prepare for the transition to value-based reimbursement.
Contracting expert Braden Decker explains how to hold payers accountable to ensure you're reimbursed accurately for the services you provide.
Sherry Griffin, senior vice president of managed care for Valley Baptist Health System in Texas, explains how her team recovered almost $2 million in six months.
Watch the video
—Director, Managed CareUniversity of Utah Health System
—Large hospital system in the Southwest
—Chief Financial OfficerMidwestern community hospital
—Manager, Contract ComplianceWest coast health system
—Director, Payer RelationsWest coast health system
—Director, Managed CareWestern academic medical center
Learn how we can help you maximize your contract yield.
Payment Integrity Compass—powered by Concuity technology and Advisory Board research—is a unified solution for maximizing yield across all payers and contracts to improve revenue cycle management.
Our technology platform provides secure, web-enabled software access without the need for a large-scale, expensive software installation. Members of the Payment Integrity Compass Institutional and Professional modules benefit from features such as:
Watch our video to take a closer look at how Payment Integrity Compass can help you optimize payer contracts, automate collections, and more.
We pair every member with a dedicated advisor. Your advisor functions as both an educator and an analyst, identifying immediate and long-term opportunities, reviewing data to support performance gains and prevent backsliding, and sharing peer organizations’ stories and best practices.
Our members are part of a rapidly expanding national network of organizations willing to network and share ideas.
Our members have access to rigorous research and web-based training on best practices for revenue cycle managment culled from the most sophisticated and progressive hospitals and health systems.
Traditional approaches to collecting small-dollar variances from professional billing are extremely costly to scale. Providers typically have no choice but to focus on large, one-off discrepancies, leaving small-dollar underpayments and denials (and millions of dollars in revenue) unclaimed.
Break through the barriers to physician collections
Payment Integrity Compass - Professional is helping members reclaim these lost dollars and improve professional revenue.
Our technology platform and expert team help you maximize your medical group’s contract yield by:
Don't just take our word for it
Here's what a vice president of finance at a large multispecialty group had to say:
[Before Payment Integrity Compass – Professional] payment variances were only getting caught by accident. We couldn’t maximize our resources’ time and effort, beyond just going after large, one-off variances.
Many health systems are jumping into clinical transformation initiatives without fully understanding the financial impact.
To succeed, systems need to find the right balance between care transformation and contractual risk, without taking on too much of either too soon.
Understand, evaluate, and transition to new risk-based payment models
Payment Integrity Compass - Forecaster is a one-of-a-kind financial modeling tool that enables finance executives to model the financial impact of episodic-risk, shared-savings, and ACO-risk contracts. Through our proprietary technology and expert guidance, we arm hospitals with everything they need to monetize their quality initiatives, protect their high-volume procedures, and proactively secure favorable risk contracts with payers.
We help you turn a profit from your system’s clinical integration by:
Helps hospital finance executives enhance revenue performance through customized solutions that combine research, consulting, training, and technologies tied directly to business outcomes.
Learn how we can help you increase revenue capture, prevent takebacks, and improve quality measures.
Helps hospitals and health systems grow point-of-service collections through authorization automation, eligibility screening, and patient obligation estimation.
Business intelligence technology to support hospitals and health systems with the transition from ICD-9 to ICD-10 coding and implementation.
We provide strategic guidance and performance improvement solutions —actionable insights and analytics, technology platforms, consulting expertise and talent development services. More
We help hospitals collaborate with physicians, suppliers, and GPOs to realize hidden value across their spend portfolio. Learn More
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High-risk patients have complicated clinical and non-clinical needs, often leading to unnecessary utilization. Evaluate whether hiring high-risk care managers or designing a dedicated high-risk clinic is the right approach for your organization. More
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