Webinar:   Healthcare Contract Management and Payment Review-Trends and Emerging Solutions

Healthcare organizations and medical groups are in a fight to save every bit of revenue possible.  In a time of complex payment terms and tight appeal timeframes it is becoming increasingly more important to have the appropriate tools and solutions in place.  More and more healthcare organizations and medical groups are realizing the importance of establishing good payer contracts and having the ability to determine how claims are being paid and pursuing those that fall short of the expected amounts due.  This webinar will discuss the current trends seen in the healthcare industry regarding contract management and payment review and the various types of solutions available for hospitals and physician groups. 

Agenda

• The need for Contract Management and Payment Review (CMPR)
• PayStream Innovation Lifecycle
• Current State of the CMPR Market
• Emerging Automation Opportunities
• PayStream Forthcoming Report on CMPR

Related Report Description

National statistics show that between 12% to 15% of all commercial claims for healthcare organizations are paid incorrectly due to misinterpretation of negotiated contract terms, inappropriate loading of contractual rates or claims being denied.  In a time when hospitals and health systems can’t afford to lose revenue, most operate in ways that cause underpayments, denials and faulty contract terms to go unnoticed.  The gap however can be easily filled with the innovative and effective solutions offered by many vendors in the contract management and payment review marketplace.  Gone are the days of healthcare organizations having to create time consuming and ineffective manual processes to determine how contracts are being paid, isolating problem areas that cause denials and manually modeling new contract terms.  Solutions of today offer the provider hosts of options to streamline, automate and even outsource key contract management and payment review functions that can add millions of dollars to the bottom line! 

PayStream Advisors is preparing a buyer’s guide and vendor analysis report to provide information to healthcare organizations and medical groups about the best contract management and payment review solutions in the marketplace. This 60-70 page report will allow healthcare organization and networks to analyze contract management, payment review and denials solutions.  The report, which is targeted for publication later this year, is intended to help CFO’s, Directors and Decision Makers make vendor and technology selection decisions as they evaluate new strategies and solutions.  The report focuses on solutions and tools that facilitate the automation and outsourcing of contract management and payment review functions.  In addition, the report will establish best practices, provide valuable insights into new trends and feature profiles of six to eight leading vendors in this space who have strong capabilities, innovative solutions and product strategies to meet the needs of healthcare organizations and medical groups across the nation