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 TRICARE contract management team. We enable your hospital to identify the sweet spot in your insurer contracts.
Just send us a message in the form below with any questions you may have
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 TRICARE 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 TRICARE 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 TRICARE 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 TRICARE 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%
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Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
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Find resources to help you run a more successful practice
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Insurer specific collection breakdowns. Know payment TAT of every insurer
Track appointment counts. Customization and integration options. Reduce your no show percentage
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Net Collections by DOS and several other financial KPIs no smart practice can do without!
5 Important denial management metrics that your tool should track. Figure out preventable denials
Areas where group practices can minimize cost. How to manage your financial challenges
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
Anesthesiology revenue cycle and contract management is incredibly complex. See how..
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The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
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OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management...
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Get paid Three times faster with our 24/7 medical billing services.
Work with medical billers who understand your EHR's billing process backwards and forwards
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