Every major player in your health system gets a direct line to the industry’s most-needed insights and
the support to take action. Learn about our research platform.
A strategic focus on talent is critical to success. Learn how we can help you make the right investments.
Attract and retain the patients you aspire to serve by offering the care network, access, and experience they need. See a list of our capabilities below or visit the Optum website for more information about our comprehensive approach to health care operations.
Improve quality and outcomes and lower costs by eliminating unwarranted deviation from the best standard of care. See a list of our capabilities below or visit the Optum website for more information about our comprehensive approach to data and analytics.
Sustain the financial stability to serve your community by making sure you’re paid efficiently for services rendered. See a list of our capabilities below or visit the Optum website for more information about our comprehensive approach to revenue cycle management.
Make sure every level of your organization understands best practice performance and has the tools
and support to get there. Learn about our research platform.
Pinpoint your opportunities and hardwire best practices to accelerate progress. Learn about our technology.
Partner with seasoned experts providing strategic, customized support. Learn about our consulting services.
Create an account
Payment Integrity Compass is a unified, automated solution that helps you reach a new level of payer performance. Calculate current expected reimbursement, pinpoint payment discrepancies, model optimal future contracts, manage underpayments and denials, and provide detailed reporting.
Read on to learn more about Payment Integrity Compass, what it can do for your organization, and how we are different from other payer performance tools.
Our latest blog discusses how your organization can better prepare for these trends by reinvesting in your contract management processes.
Get best practices on how to align your negotiation strategy with organizational objectives to improve your contract management.
Use our checklist to see where your business office technology is already strong—and where you have opportunity to improve.
Robust calculation engine handles all varieties of payer contracts across hospitals and physicians. While most cost accounting tools are limited to simple contract terms, Payment Integrity Compass can manage complex contracts.
Accurately calculate expected reimbursements, manage accounts with automated work lists and batch processing, and maximize contract value across your entire health system.
Flexible, detailed “what-if” scenario modeling allows you to work with patient populations of all sizes. Create a rate schedule matrix to compare populations with different contract terms, and assess their impact on demand.
Create prepared and ad hoc reports to monitor your best opportunities and identify payment error trends. Quickly access the data you need, when you need it, for contract negotiations and internal reporting.
Learn how we can help you maximize your contract yield.
Payment Integrity Compass is a unified, automated solution that incorporates people, process, and technology to help you reach a new level of payer performance. It enables you to manage contract performance, streamline processes, model future contracts, and recover lost revenue.
Our technology platform provides secure, web-enabled software access without the need for a large scale, expensive software installation and includes:
As the only contract management system that handles all care settings in a single platform, Payment Integrity Compass enables you to prepare for global contracting and maximize reimbursement both on the institutional and professional sides of your business.
Using Payment Integrity Compass, you can pinpoint underpayments, identify trends in reimbursement discrepancies, and bundle denials rework by payer, all in one automated system.
All Payment Integrity Compass members have access to a team of experts to ensure rapid results and long-term success. The team includes an implementation leader, contract analysts, programmers, and a dedicated advisor.
Your dedicated advisor works with you throughout your membership – long after implementation – functioning as both educator and analyst, helping you extract value by identifying immediate and long-term opportunities, reviewing data to support performance gains and prevent backsliding, and sharing peer organizations’ stories and best practices.
Jim Lazarus serves as our technology National Partner within Advisory Board’s Revenue Cycle Solutions division. As a nationally recognized health care, finance, and revenue cycle expert, Jim has spearheaded initiatives to help hospitals, health systems, and physician practices address challenges pertaining to revenue cycle performance and analytics. Read more
With over 20 years of experience in health care information technology, including 15 years specializing in contract management, Braden Decker has helped hundreds of hospitals get the most from their payer contracts. Serving Advisory Board members both large and small, including some of the most innovative health care systems in the country, Braden uses his in-depth knowledge of the health care landscape to help our cohort increase revenue collections and get reimbursed for the services they provide. Read more
They worked with Payment Integrity Compass to create a workflow that helped them uncover key revenue underpayment and denial opportunities.
Using Payment Integrity Compass, this organization maximized efficiencies and earned $1.36 million in recoveries since January 2014.
Marietta Memorial Health System used model reports and rate schedules to reduce contract negotiation time and secure a $428K increase in expected payer reimbursement.