Contract Management, Modeling and Payment Variance
Conquer the complexity of managing and modeling contracts while ensuring accurate payer reimbursement
Has your vendor subjected your health system to lengthy and cumbersome contract loading and maintenance processes, resulting in lost time and unnecessary expenses?
We get it – we’ve worked with hospitals and health systems that face the same issues. Payer contract modeling places a significant drain on IT resources and can hinder staff’s performance while making system-wide analysis of contract performance nearly impossible. Even routine analysis of new contract scenarios is cumbersome and time-consuming, placing your health system on unequal footing during payer negotiations, thereby putting reimbursement at risk.
That’s why you need ZirMed’s Contract Performance solution.
Ideal when you need to:
- Simplify the management of payer contracts to ensure accurate reimbursement
- Identify payer underpayments for timely resolution
- Forecast the financial impact of payer contract proposals
- Model alternative contract scenarios to mitigate risk, improve payer negotiations and enhance margin
- Predict and manage cash flow
Discover the power of ZirMed’s Contract Performance Solution:
- Create, maintain and model payer contracts in real-time
- Provide unprecedented visibility into payer performance at the enterprise and facility level – down to the individual claim
- Deliver enterprise dashboard to analyze payer variance and recovery across all facilities
- Accommodate all commercial and government payer contracts and terms
- Calculate payment variance to the claim, line and category level
- Drill down to payer term violations and allow staff to rapidly categorize and resolve similar issues
- Incorporate integrated appeals management
Ready to see what ZirMed Contract Performance can do for you?
To make Contract Performance even more powerful utilize it with our complementary solutions:
Deploy Contract Management with Charge Integrity – Integration with Contract Management ensures accurate values for prioritization of missing charges for staff follow-up.
Use ZirMed’s Claims Management solution with a 98%+ clean-claims rate to accelerate payer payments and prevent rework that delays AR days.
Reduce costly delays and expensive manual processing by handling all your payer payments in one system. With Remits, you’ll receive all your remits from all payers electronically. And EOB Conversion with Payer Lockbox automatically converts incoming paper checks into electronic payments.