Timothy Daye with Duke Private Diagnostic Clinic talks about how Experian Health's Contract Manager reduce underpayments and the costs associated with appealing those underpayments.
In an ideal healthcare world, third-party payers would always make payments accurately and on time. Unfortunately, human error is unavoidable, so missed payments and underpayments happen. Identifying and correcting these inaccurate payments often falls to healthcare providers, and without a strategy to make sure payers are complying with your contract terms, these errors are bound to cause stress and volatility to your revenue cycle.
Simple human error is also the main reason why medical claims are denied. The smallest typo or discrepancy can lead to an immediate denial, and reworking a claim rarely increases its chances of being more accurate. Streamline claims management by checking that every claim is clean and error-free before the provider submits it, eliminating the costly, time-consuming need to redo them. Fewer denials (and, therefore, fewer reworked claims) mean a faster and more predictable revenue cycle, as well as lower administrative costs and more time for staff to focus on patient care.
You need automated access to the right data. Our solutions help you get reimbursed accurately and fast, while strengthening your relationships with payers.
Ensure all claims are complete and accurate before submission to the appropriate payer or clearinghouse.
Avoid payment delays and lost revenue with automated payer policy and procedure change notifications.
Audit payer contract performance to assure compliance—and maximize revenue.
Audit payer compliance against contract terms for maximum revenue.