Pinpointing all payment discrepancies
Topics: Denials Management, Revenue Cycle, Finance
Confront the unquantifiable revenue leakage problem
Payer contracts are increasingly complex, with reimbursement terms and formulas that are awkward to monitor and manage. Health care organizations need the ability to precisely determine expected reimbursement and contractual allowances for all payers; yet, most existing hospital information and practice management systems cannot process complex contract terms, model contracts, and identify and track payment errors.
How We Help
Payment Integrity Compass leverages Concuity technology to enable you to accurately reconcile actual versus expected payments. Our sophisticated calculation engine applies expected payment rules to detailed charge codes, diagnoses, procedure codes, revenue codes, and patient demographic data to determine what should be paid on each account.
Relentlessly uncover true payment discrepancies
With the Payment Integrity Compass platform, members can:
- Calculate expected payment for the most complex contract terms for all payers
- Incorporate custom rules to eliminate false positives
- Identify line-item payment discrepancies and denials
Contact us to learn more about Payment Integrity Compass
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