Contract Manager & Contract Analysis for Hospitals & Health Systems
Improve Contract Management and Performance
In an increasingly complex healthcare environment, it is difficult to verify that
payers are complying with contract terms. Built on years of reimbursement knowledge
and industry best practices, Experian Health Contract Manager and Contract Analysis
represent an innovative approach to verifying the accuracy of payments received from
third-party payers and ensures your contracts are negotiated with the most favorable
Validate Reimbursement Accuracy
Monitor payer compliance with contract terms, value claims and audit remittances
based on the latest payment rules and adjudication logic. This powerful technology
platform enables hospitals and facilities to manage multiple payer contracts and reimbursement
methodologies. By accurately pricing claims and comparing actual allowed amounts to
expected amounts, this market-leading product pinpoints variances quickly and efficiently.
The Contract Manager solution is built to adapt to changes within the industry
so you can capitalize on emerging reimbursement schemes and changes in payer payment
Conduct contract-based appeals and recover lost revenue with data-driven insight.
In addition to providing the details needed for successful appeals and streamlining
communications with payers, Contract Manager identifies sources and patterns of errors
so any recurring issues can be promptly resolved.
Negotiate More Favorable Terms
Contract Analysis supports the modeling of proposed contract terms and tailors
your negotiation strategies to the factors that impact reimbursement the most. Contract
Analysis not only assesses the financial impacts of new and proposed contracts right
down to how much an individual service line could gain or lose. It also enables
hospitals to strategically evaluate overall contract performance and assess the potential
introduction of new lines of business.
Additional benefits include:
Streamlined workflow with claims auditing across an organization