Validate your Contract Management
Valetude Contract Modeling provides a comprehensive view of the impact that your payer contracts have on revenue. Contract data loaded into the Valetude software system provides estimated reimbursements by account. Details for each account are summarized to highlight expected reimbursements and specific contract clauses affecting those reimbursements. Results of patient reimbursement estimates are itemized, providing transparency and tools for staff to use in researching underpayments.
Model proposed managed care contract to calculate an expected outcome:
- Modify existing contract (or create new) in Valetude to model proposed contract terms against account history.
- Run multiple “What-If” analysis to adjust contract terms to estimate contract value during negotiations.
- Identify high impact and low impact contract term changes.
- Use to build negotiating strategy with detailed understanding of sensitivity of key rates and terms including knowledge of thresholds. Where do seemingly small changes incur a multiplier effect?
Leverage Valetude Contract Modeling data to answer
- Proper Reimbursement from Payers? Details are readily available to contest claims.
- Current pricing vs contract pricing? Is the hospital charging enough to meet allowable case rate caps of fee schedule maximums? Leverage the analytical query power of Valetude to answer these questions and measure the financial benefit of pricing changes.
- Which contract or contract clauses are detrimental to hospital revenue? Answer this question and provide support to contract negotiations using the detailed contract reimbursement data from Valetude Contract Modeling.
- What is the impact of a hypothetical price change in the hospital Charge Master? Valetude answers this question in addition to providing a per patient breakdown of charge and reimbursement variances.
Accessible and Responsive
Visualize Results and Focus Efforts
Minimize Risk with Proven Results
© 2012 Valetude - All rights reserved | 701 Edgewater Drive, Wakefield MA 01880
