Topics: Denials Management, Revenue Cycle, Finance
Level the playing field in payer negotiations
Contract negotiations are a perennial challenge for hospitals, as contract terms become more complex and ambiguous, plan types and provisions proliferate, and reimbursement models evolve. In this environment, providers increasingly need technology that can model contract terms and create scenario analyses that accurately predict the implications of changing reimbursement terms.
How We Help
Take an agile, informed approach to contract modeling and negotiation
Payment Integrity Compass provides a means to manage the entire contract lifecycle to give you the visibility and control needed to create and negotiate the best contracts, streamline contract interpretation and compliance, and ultimately collect what is owed.
Our platform gives managed care negotiators logs of all payment discrepancies and their identified root-cause drivers and resolutions, enabling easy access to payment performance trends to inform new contract discussions.
Model the impact of proposed terms in real time
Payment Integrity Compass elevates your negotiating position by allowing you to use actual patient data to predict in real time the impact of changing volume, cost, rate, or charges on contract profitability.
By creating multiple “what if” scenarios and comparing them side by side, you can easily forecast gross revenue, contractual allowance, net revenue, total cost, and profitability of proposed payer contracts.
Once terms are finalized, contracts can be loaded automatically into the calculation engine for monitoring and follow-up.
Hold payers accountable to executed contracts
Increased visibility into contract performance allows hospital to increase transparency with payers. Accurately documenting payment errors saves time and resources on both sides, from the negotiating table to revenue recovery.
Contact us to learn more about Payment Integrity Compass
Payment Integrity Compass home
