| Contract Analytics |
| Support all aspects of the contract process including contract negotiation and planning, expected payment calculation, payer contract compliance and monitoring. |
- Supports a full scope of contract arrangements and pricing mechanisms, accommodating;
- Charge-based and service-level pricing
- Flexible service definitions including carve-outs and stop-loss
- Robust pricing and reimbursement modeling
- Allows for analysis of utilization and patient mix
- Provides actual to expected payment variance reporting and Actual to expected profitability analysis
- Monitors compliance through price list modeling, net billing, what-if capabilities and population
- Interfaces with operational billing process to calculate expected reimbursement and adjust A/R balances at the time of billing.
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