Medical oncology, radiation oncology, urology, and other surgical practices face growing revenue challenges. Ever-changing fee schedules, varying reimbursement models, and lack of real-time data result in underpayments and underfillings and require additional resources to recover the associated revenue.
AC3’s Payer Contract Intelligence solves these challenges with a unique, tech-driven approach to managing contracts and fee schedules. We help practices like yours recover revenue and reduce the administrative load. We keep practitioners focused on their practice, not on billing and collections.
Our Payer Contract Intelligence solution is a part of our broader Specialty Health Revenue Cycle Platform.
Our payer contract intelligence solution streamlines the contract management process. Centralize your contracts and see a comprehensive comparison of payers. An analysis of important payer metrics, like reimbursement rates, denial rates, and time to payment benchmark major payers, adopts a benchmark approach for a nuanced comparison of major payers.
Stop falling behind on fee schedules and dealing with endless payer and contract issues. With our Fee Schedule Validation and Analysis, your practice enjoys 100% accurate fee schedules that stay current thanks to ongoing management and support. Work with confidence that invisible payer and contract issues aren’t siphoning revenue: our Fee Schedule Validation and Analysis finds and exposes these issues automatically.
Surface reimbursement trends with our claims analysis. Our proprietary software, paired with codified billing rules and intelligence, exposes insights. Review reimbursement patterns over time by payer, plan, and CPT. Extract data to support payer special projects. Enjoy monthly reporting to review opportunities and identify issues, including under-reimbursements.
Benchmark your internal KPIs with an annual payer scorecard. Understand payer performance by evaluating them on the most impactful metrics, including payer mix analysis; average days to first payment; average time to payment; payer impact analysis; denial rate; denial overturn rate; first-pass denial rate; average day sot denial resolution; days in AR by payer; reimbursement per visit or procedure by payer; allowed to expected ratio; and payment to allowed ratio.
Whether your practice specializes in medical oncology, radiation oncology, urology, or surgery, AC3 delivers Payer Contract Intelligence that simplifies your operations and improves your revenue recovery.
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