Optimize revenue opportunities with our contract management services for UnitedHealthcare
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.
Are you leaving money on the table?
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 UnitedHealthcare contract management team. We enable your hospital to identify the sweet spot in your insurer contracts.
- We shorten your UnitedHealthcare contract negotiation and approval cycle
- Our experts monitor insurers’ compliance with contract regulations
- Your organization can effectively manage the reimbursement mechanisms of UnitedHealthcare
- Recover lost reimbursement and drive down underpayments
- Spot and eliminate payment variances and negotiate equitable contracts
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Key to Successful Payer Contracts
BillingParadise has vast experience with all the major payers that can make the difference when negotiating managed care contracts for all healthcare models
Don’t just adapt to payment trends capitalize on them
We improve the financial performance of your UnitedHealthcare 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.
Lower payer contract negotiation and administration costs
Contract negotiation and insurer calling costs put an additional strain on the operational budget of hospitals. Our UnitedHealthcare contract negotiation and management services are cost effective and can help you cut back on expenses without cutting corners.
An anesthesia medical group recently...
- Identified and resolved underpayment issues
- Corrected critical workflow errors
- Mitigated risky provisions
- Identified appeal opportunities
- And negotiated smarter UnitedHealthcare contracts
Not just the low hanging fruit...
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 UnitedHealthcare 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.
With our contract negotiation and management services you can...
- Gain visibility and control over your contract negotiation processes
- Resolve underpayment issues
- Audit the performance of payer contracts
- Increase profitability and compliance
- Estimate pricing prior to rendering service
- Assess the potential for incremental reimbursement opportunities
- Be sure that payments intersect with contracted terms
Improve yield through smart capitation contracts
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 UnitedHealthcare contract negotiation services. Schedule a call today to know more.
Specialty Focused RCM Services
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Struggling To Bill With Your EHR?
At BillingParadise we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.
Service Suite Tailored To Your Needs
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
Service Suite Tailored To Your Needs
Skilled Personnel
BillingParadise employs trained personnel to manage your claim auditing needs. All claims are thoroughly audited and quality checked before the bills are sent for reprocessing. Batches of claims are diligently checked for incorrect codes/errors/missing information before sent for processing.
Foolproof System
At BillingParadise we have designed our audit workflow that produces quality centric audit reports the fastest way possible. Auditing and recovery occur simultaneously, and reports are produced based on your necessity. Every flaw is flagged & rectified in tandem. The entire workflow is streamlined and optimized.
State-of-the-art Tech
BillingParadise provides you the most optimized and cost effective software.The ClaimBridge is a turnkey software solution. The software is automated and analyzes claims in batches. Easily deployable, seamlessly scalable & can be maintained & updated. Our tech helps you conserve your valuable resources and boosts your revenue.
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
Service Suite Tailored To Your Needs
Skilled Personnel
BillingParadise employs trained personnel to manage your eligibility denials. This service is made available for you to avoid such denials. Verifications are done by our specialists prior to services rendered. Every criteria from pre-certification to patient due is checked and thoroughly verified.
Foolproof System
At BillingParadise we have designed our eligibility verification workflow to be streamlined and highly productive. We ensure that all information regarding your patients current eligibility status is made available to you the instant you require it. Eligibility checks are done in batches and are also made available to you on demand.
State-of-the-art Tech
BillingParadise provides you the most optimized and cost effective software. The software can cross-integrate across payor systems and offers you complete interoperability for you to keep track of your patients eligibility status. Eligibility checks are done on demand or through scheduled batches. Hire us and avoid eligibility denials permanently.
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
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Work with medical billers who understand your EHR's billing process backwards and forwards
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