Gaining insight into your true contract yield
Topics: Reimbursement, Finance, Denials Management, Revenue Cycle
Integrate all payer management functions
Health care organizations must be able to precisely determine expected reimbursement and contractual allowances for all payers—and need the tools to improve collections accuracy and productivity. Long-term performance management also requires an effective strategy for collating and redistributing insights to drive changes that maximize reimbursement accuracy and improve contract yield.
How We Help
Ensure a single version of the truth
Payment Integrity Compass integrates contract, 837, 835, patient accounting, chargemaster, and explanations of benefits data for all payers into a unified resource. With the Payment Integrity Compass platform, powered by Concuity technology, members can:
- Unify reimbursement, collections, and contracting data
- Model and calculate expected payment, and collect within a consistent system
- View payer performance across denials and underpayments
- Easily monitor ongoing performance
Monitor performance and elevate insights to finance executives
Payment Integrity Compass facilitates management oversight of collections performance, including a reporting tool that quickly uncovers patterns, trends, and root causes of performance problems. A visual dashboard presentation of key reimbursement performance indicators such as contract yield and contractual adjustments gives executives easy access to previously unavailable performance data.
Establish feedback loops across the revenue cycle
Our integrated payer management system logs all payment discrepancies, as well as their identified root cause drivers and final resolutions to establish effective feedback mechanisms for front-end staff, case management, and managed care negotiators.
Contact us to learn more about Payment Integrity Compass
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