Payer Contract Management

A contract management process that will guide the entire lifecycle of the contracts will ultimately make or break the organization. What is Contract Management? Definition. Contract management refers to the business processes that manage the creation, implementation, and evaluation of contracts to maximize business performance and minimize risk.

Payer contract management. Payer contract management for Medical Groups, Hospitals and Health Systems. Let us help you make sense of the growing volume and complexity of payer contracts and gain leverage when negotiating with payers. Now you can perform reporting and business intelligence with ease. Home Solutions Revenue Management Rebate Payer Manage your rebates and incentive based contracts iContracts Rebate Payer is the most powerful solution available today for managing rebate and incentive based contracts, including calculations based on direct & indirect sales, net sales, utilization payments and much more! The steps for terminating a payer contract should fold into an overall payer contracting strategy, Jacobsen said. In building out that planning and strategy, the more you do makes everything work better — which is especially important for such an “uncomfortable topic,” she said. Contract. Understand your payer rates and detect underpaid claims Resources. eBooks Blog Login. Menu. Contract What good is a contract you don’t understand?. Our payer management experts do all the work of rounding up your contracts, so you can focus on running your practice. Underpayment Detection.

Payer Contract Negotiations Most offices lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers. Global Health Management Services renegotiates for you during contract renewals and uses leverage points to maximize normal contract terms. 2,477 Payer Contract Management jobs available on Indeed.com. Apply to Manager, Contract Manager, Patient Services Representative and more! Payer Contracting & Reimbursement ECG's roots in payer contracting run deep, making us one of the most effective healthcare contracting and reimbursement firms in the country. Managing the increasingly complex reimbursement models of commercial and government payers is absorbing elevated levels of hospital resources – and with no assurances. Payer Contract Management Software . We help organizations find the right payer contract management software solution. Complete a needs assessment – best fit analysis; Review options of known software products; Guide your team through the decision and software selection process; We Provide: Implementation, Training, Support, Reporting

iContracts Medicaid Payer is the ultimate solution for managing payments and compliance with states and other government entities. Medicaid Payer collects and validates state invoices, holds and monitors disputes, calculates and pays state Medicaid rebates and stores and tracks URA. Therefore, payer contract management is key to ensuring payers reimburse practices and hospitals the correct amount each time a claim is submitted. Many provider organizations have failed to implement comprehensive payer contract management practices because of the complexity associated with negotiating and managing multiple contracts. At the end of the Payer Contract Management healthcheck sm, we will produce an executive-level report that indicates the areas at risk, recommendations for change, and an actionable plan for measurable improvement with expected financial outcomes. health managed ℠ Our team will help your organization stay up-to-date. Insurance Credentialing & Payer Contract Management Supervisor- Miramar, FL . Responsible for day-to-day operational and functional activities of the Contract Services team.

Implementing a payer contract management system. Adding to the complexity of payer contract management is the fact that provider organizations work with multiple payers at once. Ensuring that all contracts are centralized can help organizations manage a larger volume of relationships. Payer contract management expertise, maintenance and updates included in subscription User-friendly software that works with any HIS system in the industry Affordably priced, 14 days' set-up and 30 day money back guarantee Axiom Contract Management provides modeling and analytics tools to help organizations manage contracts, claims, and payments — including predicting payments, leveraging data to strengthen payer negotiations, and estimating net revenue by patient. The solution is part of Kaufman Hall’s Axiom suite of performance management software for. A smart healthcare payer contract management system will simulate payer contracts and their financial impact on proposed payer rates during the re negotiation process. It allows the healthcare organization to go into renegotiations armed with tools for success. The best healthcare payer contract management systems:

Payer contracts and fee schedules are notoriously hard to track down and keep up to date. Understanding them can be even harder. Don’t sweat it. Rivet takes on the administrative work and gives you super powers to get the most out of your payers. The management of enrolling and updating contracts requires a large amount of time. This is time that could otherwise be spent on patients or away from the office. HuTech is well equipped to enter payer contract negotiations on your behalf. Contract management is more than just collecting underpayments and denials. Hospitals and health systems need the ability to assess payer performance, identify trends, overturn rates, success rates, re-denial rates, dispute resolution time-frames, and more. Eliminating Revenue Leakage with Payer Management. To support pharma manufacturers in navigating the complex requirements for formulary, market share, and price protection calculations, Payer Management keeps structured contract documents in a single repository and reduces manual effort.

READ MORE: Maximizing Provider Revenue with Payer Contract Management “Payer contracting, whether it is commercial payers or government payers, and the credentialing process is complicated, cumbersome, lengthy and time-consuming,” Tracy Watrous, Vice President Member Services and Content Development at MGMA, recently told.