A 2017 survey by KPMG reveals that 50% of health systems surveyed receive value based reimbursement. According to a survey by McKesson 58% of hospitals are transitioning towards incorporating value based reimbursement protocols in their practice.
It is as clear as daylight.
The industry is talking a quantum leap into the unknown. And it is medical practices with highly performing payer contracts that will come out at the other end, more successful and financially stable.
Effective contract management is the key to optimizing revenue opportunities. Are you frittering away dollars that rightfully belong to you? Create better performing payer contracts and ensure efficiency across your entire contract lifecycle with our Pacificare contract management team. We enable your hospital to identify the sweet spot in your insurer contracts.
BillingParadise has vast experience with all the major payers that can make the difference when negotiating managed care contracts for all healthcare models
We improve the financial performance of your Pacificare contracts and support your transition to value based reimbursement. Value based contracts are far more complex than FFS ones. The design of the contract, patient attribution, quality and cost data analytics all play a key role. As payment trends move from throughput to quality outcomes, a weak, vague contract isn’t going to cut mustard.
Negotiate contracts that maximize reimbursement with BillingParadise’s powerful suite of contract management tools and experienced workforce.
Contract negotiation and insurer calling costs put an additional strain on the operational budget of hospitals. Our Pacificare contract negotiation and management services are cost effective and can help you cut back on expenses without cutting corners.
Our sophisticated contract management software enables our team to analyse the origin of payment variances at the service line level to weed out underpayments and denials. The sources and patterns of payment errors are quickly identified and resolved.
Our proprietary contract analysis software is designed to adapt to emerging payment models so when the next big reimbursement change is around the corner you’re well equipped to handle it.
With our Pacificare contract auditing, negotiation and management services we’re not just aiming at the low hanging fruit to achieve short term goals. But, use our expertise, technology and 24/7 workflow processes to help your medical practice build strong contracts that make you reach short and long term financial goals faster.
The financial risks involved in capitation contracts are high as the rates offered by the payer are set in stone. Our contract management team considers the revenues and costs associated with a service before finalizing on a capitation rate. Even a slight increase in the, per member per month, payment leads to a significant improvement in your medical practice’s monthly revenue.
Limit financial risk for covered services and gain higher capitation rates by working with our team. We have the technology and experience in place to help you not just thrive but succeed under capitation arrangements.
Gain a stronger foothold in the shifting healthcare landscape with our Pacificare contract negotiation services. Schedule a call today to know more.
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%