“In the past, performing a payer review was a very manual process,” Levinson said. “We compared actual payments to charges and did all of the analysis in Excel. With Kaufman Hall’s help this time, we were able to look at the whole picture very easily.”
Director of Budget and Reimbursement Sturdy Memorial
Sophisticated Contract Modeling
Perform ‘what-if’ modeling against proposed changes in contract terms to understand financial impacts and maximize your net revenue. Be informed when entering contract negotiations. Our solution makes it easy - define a contract model or cloning an existing one, edit the contract terms as needed, apply the model to a defined patient population via your historical claims, and compare the results.
Denials Management Analytics
Analyzing each payer’s denials provides insight into why and how often each payer denies claims and uncover specific claim types or services that are more commonly denied. Surface root cause issues and help guide corrective action including process changes such as coding adjustments, ultimately improving revenue.
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