Healthcare contract modeling software

What is health care contract management software? What are the best practices for contract management? Using historical contract data , contract modeling software allows your healthcare organization to model thousands of various reimbursement combinations to understand the impact of the proposed payer contractual terms on your bottom line. Revenue Masters is the most modern, powerful, accurate and affordable healthcare contract management software , all while being the undisputed price performance leader.

Our healthcare contract management and modeling products work with any patient accounting system.

Our system is cloud-base HIPAA compliant, easy to setup, and active in as few as days. Health Care Contract Management and Modeling Solutions nThrive’s Contract Management suite is a web-based revenue management platform designed to help providers accurately forecast, calculate and capture all net revenue contractually owed and model various scenarios and resulting revenue impact to support contract negotiations. A contract modeling and claim repricing solution for health plans that want to assess alternative pricing options, monitor contract compliance , and evolve reimbursement strategies. Over the years our systems have identified tens of millions of dollars in unpaid and underpaid claims to hospitals all over the country.

Contract Manager A contract management solution for health plans that want to improve efficiency, reduce administrative costs, and help eliminate errors across the provider contracting lifecycle. Not only does contract modeling allow providers to evaluate the performance of their current payer contracts , but, more importantly, it allows providers to develop a payer strategy that helps drive those payer contracts to deliver more predictable and reimbursement. Streamline, streamline, and streamline some more.

The creation and renewal of contracts can be a complex process involving various players both inside and outside of the healthcare organization.

Therefore, it is important to standardize the process to ensure that all necessary steps are executed consistently. As contracts are created and move through the healthcare organization, information will need to be submitte mistakes correcte approvals obtained and signatures added. See full list on policymedical. Create accountability via workflow automation. Anyone who works on contracts knows that the contract creation or review process can be easily interrupted when a contract gets stuck in an individual’s inbox, or on their desk.

These delays can mean the difference between meeting a deadline and missing it—an for your healthcare organization, between establishing a new relationship and missing out. Connect relevant information. Contracts go hand in hand with policies and procedures. For example, if you have a policy or procedure surrounding security you may have an associated contract with a HIPAA security advisor. In an efficient contracts management system you should have the ability to link each contract to relevant policies and procedures creating seamless integration for compliance purposes.

This will most likely require the adoption of both an electronic policy management system a. Make templates your best friend. How often are identical clauses used within your healthcare organization’s contracts? I’m sure it’s quite often. A great deal of time could be saved by automatically populating these clauses into your contracts.

Your organization’s legal team can decide which clauses are most commonly use and they can be written and housed within your contracts management system. In addition, commonly used contracts can be made into templates and stored within your system.

Instant Downloa Mail Paper Copy or Hard Copy Delivery, Start and Order Now! Leverage a centralized repository of contract templates to improve the use of approved contract terms. Improve payment accuracy with clear, standardized terms. Ensuring that contracts are accurately represented in payment systems helps you uncover savings and secure provider support for future value-based payment initiatives. Contract Analysis supports modeling of proposed contract terms so you can tailor negotiation strategies to maximize reimbursement.

It also assesses financial impacts of new and proposed contracts down to how much individual service lines could gain or lose, and lets hospitals strategically evaluate contract performance and assess potential of. PolicyMedical specializes in policy, contract , and business associate document management software designed specifically for the healthcare industry. Our software solutions are trusted by and currently being utilized by over 0healthcare organizations and facilities across the United States and Canada. If you are finding it challenging to keep up with all of the the complex reimbursements models and variations that the Payers are developing to advantage themselves, you should consider utilizing Epic’s Resolute module to manage your Payer contracts.

Improve Payer Negotiations with Contract Modeling After healthcare providers have established contract governance, this historical data can now be leveraged to aggressively model payer contracts in real-time while using the same platform to develop a competitive rate setting strategy and understanding the impact on their current contracts and net patient revenues. We help bring you the margins you need to continue your mission. It is simple and easy to use. A substantial portion of that paperwork doesn’t have anything to do with medical information, but instead has to do with managing contracts and other types of legal documents.

Allina Health has three Integrated Health Partnership (IHP) contracts , an accountable care model that incentivizes healthcare providers to take on more financial accountability for the cost of care for Medicaid patients, which cover approximately 90members. A Complete Solution To Go Paperless For Healthcare Industry. Generate pre-filled contract s. Send them for signing.

No special skills or coding required. Automate data transfers.