Contract Management

What if You Had an Accurate Expected Reimbursement for Each Claim?

When it comes to knowing the value of accounts, we know that guesswork just won’t do. So, we created our Contract Management software to provide your hospital and/or physician group with an accurate expectation of the contracted value on all your accounts.

Med-Metrix’s Reimbursement experts load your contracts and governmental fee schedules into our intuitive pricer — giving you valuable payer data for modeling your next negotiation, identifying payment variances, and reporting on revenue cycle performance. All for a low annual price and with no additional effort on your part.

Our proven, technology has priced 100s of billions of dollars of claims. And our team of Managed Care experts has years of payer and provider reimbursement experience including 13,000+ contracts managed across a spectrum of provider types all over the country.

13,000+ contracts managed chart

Features Include:

  • Generate a “Show Your Work” calculation that clearly shows your follow-up rep exactly how the claim should be reimbursed
  • Expected reimbursement calculations net the receivable at time of bill drop to add value to the collections team
  • Contract models run by Med-Metrix team with detailed output and reporting generated – we automatically post the proper allowance at bill drop and immediately flag any variances when payment is received
  • Appropriately prioritize accounts for follow up efforts based on true collectible value
  • Evaluate the appropriateness of payments/payment variance to expected
  • Monitor the velocity of cash at the account level allowing us to measure performance across a multitude of aggregations such as payer, plan code, service line, facility, physician, and more
  • Create full P&L models by contract
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Med-Metrix delivers remarkable value for hundreds of leading healthcare systems and physician providers across the country. 

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