Many healthcare organizations fail in healthcare contract management once the healthcare contract is executed and implemented. The absence of an ongoing review leads to overpaid claims and requires additional staff to collect from the provider.
An outside independent review of your provider’s contracts can help identify terms and contract rates that need to be adjusted. Just like in medical care, it is always a good idea to get a second opinion. Review of these contracts before renewal can give your organization a negotiation advantage.
Review of contract computer programming to ensure accuracy is vital for an efficient operating capacity. Incorrect payments create unnecessary use of your staff resources and negative communication to the healthcare provider. Identification and permanent correction of processing errors will reduce staff re-work expense and create a positive relationship with the healthcare provider.
From Becker’s Health IT & CIO Report about healthcare contract management:
By analyzing data provided by payers, identifying comparable populations within the network to benchmark against, and using the right metrics to gauge performance, providers can thrive under value-based models—using data to recommend changing contract terms on an annual basis.
Our focus is to help your business grow and run smoothly. We understand the challenges faced with the claims processing and recovery environment. Sunlit Cove Healthcare Consultants provide professional subjects matter experts in the healthcare industry to enhance your business. Our consulting services are available to assist with your day-to-day operations and provide expertise in healthcare contract management.