Contract Manager and Contract Analysis
#1 Best in KLAS 2026 Revenue Cycle: Contract Management
Are health plans complying with your contract terms?
Verify the accuracy of payments received from third-party payers and improve contract management with Experian Health’s Contract Manager and Contract Analysis. These solutions continuously audit payer contract performance so you can feel confident that what you collect matches negotiated terms.
Experian Health’s Contract Manager and Contract Analysis product has been ranked #1 in the Best in KLAS: Revenue Cycle: Contract Management category for 2023, 2024, 2025 and 2026. Rankings based entirely on customer feedback from healthcare organizations using the solution to compare expected to actual reimbursement, recover underpayments and uncover lost revenue.
How it works:
- Our team of contract analysts maintains your contract terms, fee schedules, and payment policies, ensuring accuracy.
- We continually update reimbursement rules for Medicare and other payers, ensuring precise pricing.
- Contract Manager seamlessly integrates with medical groups' practice management systems or most health information systems, streamlining operations and reducing IT involvement.
Validate reimbursement accuracy
Monitor payer compliance, value claims, and audit remittances, all while leveraging adaptable tools for emerging reimbursement schemes.
Recover underpayments
Conduct contract-based appeals and leverage data-driven insights to streamline communications with payers, promptly resolving recurring issues.
Negotiate favorable terms
Analyze proposed contract terms to tailor negotiation strategies and assess their impact on service lines, facilitating favorable term negotiation.
Baylor College of Medicine recovered $4.2 million in additional revenue and improved negotiations.
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