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.
Speak to an EMR Consultant
One of our EMR specialists will contact you for a personalized demonstration of
BillingParadise's 24/7 EMR Billing Process.
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-571-9069
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Helpful resources
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Are you in the weeds regarding denials
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Track and measure individual physician productivity metrics
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Want to know who your top paying insurers are?
Insurer specific collection breakdowns. Know payment TAT of every insurer
Improve patient flow and streamline your appointment schedule
Track appointment counts. Customization and integration options. Reduce your no show percentage
Are you in the dark about your claims TAT?
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Super-charge your financial decision-making with our practice analysis report
Net Collections by DOS and several other financial KPIs no smart practice can do without!
Denial Management Best Practices Explained
5 Important denial management metrics that your tool should track. Figure out preventable denials
RCM Best Practices For Medical Groups
Areas where group practices can minimize cost. How to manage your financial challenges
Know How an Underpaid Anethesiology Practice increased Cash Flow by working with BillingParadise
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Fixing the fractured billing cycle of an Seattle based orthopedic clinic
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Know how we increased the collections of a cardiology practice by 40%
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Find out how an orthopedic hospital reduce denials by 98%
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Know how an office manager of a Family practice experienced difference in net collections after working BillingParadise
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Learn how a primary care physician managed to recover his lost revenue
Inexperienced staff handling the billing department. Most claims went unpaid
Phased resolution the golden tool to upsurge obstetrics and gynecology practice
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Read how a spine care practice got rid of an inefficient revenue cycle
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Know How We Helped an Urology Clinic in Minnessota improve their documentation
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
Learn What Revenue Cycle Strategies Worked for a Medicar Podiatry Practice
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
See how an urgent care centre zeroed down on unbilled encounters
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
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A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
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How to Track Your Time of Service Collections with This Template
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Medicare Recovery Audit Contractor Template
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Medicare Evaluation Management Tool
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
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer Group A/R Assessment Tool
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
The ACI performance category sets two options based on your EHR
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Are you aware of the 271 Quality Measures
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
Improvement Activities has 92 measures to review and select
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Did you check your MIPS score?
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Practice Sale Executive Summary Sample purchase agreement
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
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Get paid Three times faster with our 24/7 medical billing services.
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