Reimbursements for all types of underpayment
Get clear distinction and identification between denials and true underpayments based on negotiated rates.
Track underpayments at the procedure level
Track and analyze payer performance down to the procedure code level to rapidly identify revenue opportunities.
Make payer contracts easy to compare
Digitize and consolidate contracts into one place that makes it easy to benchmark against national standards like Medicare.
Three wins for your healthcare organization
Improved productivity
Automated way to distinguish between denials and true payer underpayments. Staff no longer need to spend time manually updating fee schedules, or spending hours in spreadsheets.
Negotiate better contracts
Model and benchmark in real-time the revenue impact of new rates, methodologies, and increased patient cost-sharing in contract proposals. Compare rate of payment on current contracts vs Medicare payment.
Know the real maximum for what you're charging
Maximize what you're charging for services by optimizing your chargemaster based on payer reimbursement terms and negotiated rates.