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Contract Management

Contract Manager is a Web-based revenue management solution designed to help hospitals and healthcare systems accurately forecast, calculate and capture all net revenue contractually owed to them. Contract Manager helps manage contract inventories, leverage historical data in contract negotiations and simplify the reimbursement process. With the easy-to-use Contract Manager you can:

  • Accurately calculate the expected payments and discounts of even the most complex contract terms 
  • Identify underpayments, including those from 'Silent' PPOs 
  • Model and forecast contractual revenue 
  • Manage complex contracts
  • Ensure compliance in financial reporting

Use Contract Manager as a modeling and analysis tool to help you gain leverage in contract negotiations and generate online reports with customizable data fields.

Contract Manager automatically flags accounts that have potential repricing exceptions or data errors. With Contract Manager, you can identify suspected underpayments, payment-to-charge ratios and days to payment. Use Contract Manager to reprice virtually all claims for payors, even the most complex – Managed Care, Medicare, Medicaid and Workers Compensation. Use it to calculate net A/R at claim submission and easily resubmit unpaid or underpaid claims with online tools and letter templates.

With Contract Manager you get expert support from a dedicated government programs and compliance team with on-staff HIPAA privacy and security officials to help you mitigate compliance risks, calculate payment pricing, understand complex state and government healthcare programs and obtain accurate calculations for both inpatient and outpatient services on Medicare, TRICARE, Medicaid and Workers Compensation.

HFEM Peer Reviewed*HFMA staff and volunteers determined that this product
has met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guaranty the
use of this product

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Featured Case Study
Duke University Health
DUHS was searching for an alternative to manual claims processing. An automated solution helped recover $5 million in underpayments – an amount which would have never been identified under the manual system. Additionally, the health system was able to defend $1.2 million in managed care refund requests.
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Educational Events
April 30, 2010
NAHAM 36th Annual National Conference and Exposition
April 30 - May 3
Orlando, FL
Booth: 408

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