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Revenue Masters has decades of experience with managed care and other commercial and government payor strategies. Our team is continually honing their strategic and technical skills to successfully usher clients through reimbursement strategies, price negotiations, and methodology changes. Our ability to understand the issues that are important to both providers and payors affords us insight into the market dynamics impacting provider reimbursement and technical skills and software needed to manage and optimize your revenue stream.
 

Cloud Contract Modeling™

 
Cloud Contract Modeling™ & Payment Variance Reporting

Cloud Contract Modeling™ is a robust and user-friendly, rock solid contract modeling and claim management solution. Our customized payer contract calculators, pre-calculates the expected plan allowable and compares that amount to the payment processed by the payer. (Detects not only denials but underpayments as well – hospitals that don’t utilize contract modeling software often lose a great deal of money due to underpayments)

Cloud Contract Modeling™ offers a powerful claims valuation engine so that every claim is priced according to contract terms, for specific line items or at the claim level, taking into account carve-out items such as high-cost drugs, devices, ancillaries, as well as first and second day stop loss, MS-DRG/APR-DRG, APC and ALL complicated inpatient and outpatient contract rates. Our contract modeling calculators are custom designed to meet each clients needs.

Benefits

 

Through Cloud Contract Modeling and our customized payer contract calculators, you will realize the following benefits:

 

Approximately one out of every 14 healthcare claims is paid inaccurately, according to the 2013 AMA National Health Insurer Report Card. This missing revenue can significantly impact your organization’s bottom line. Additionally, valuable time is spent uncovering and appealing underpaid and denied healthcare claims is expensive.

Free Demo

RMReimbursement Accelerator™

 
RMReimbursement Accelerator™, an intellectually intuitive (exception based workflow), cloud-based Denial Management/ Underpayment Recovery/ Collections / Take Back/ Reimbursements /Contract Modeling & Renegotiation Software as a Service (SaaS) solution. It will improve the functions of your Business Office by leading staff in their daily tasks, while making them more productive, efficient and accountable.

RMReimbursement Accelerator™ ensures full and accurate payment on ALL claims through our unmatched technology. The RMReimbursement Accelerator™ is an amazing software that has all the contract modeling, claim and reimbursement management, at a more reasonable price than other software solutions.

Benefits

 
  • Advanced Exception Based Workflow Technology
  • Increase Cash Collections ≈ 7%
  • Increase Efficiency ≈ 50%
  • Increase Productivity ≈32%
  • Reduce Administrative Costs ≈ 40%

 

Approximately one out of every 14 healthcare claims is paid inaccurately, according to the 2013 AMA National Health Insurer Report Card. This missing revenue can significantly impact your organization’s bottom line. Additionally, valuable time is spent uncovering and appealing underpaid and denied healthcare claims is expensive.

Free Demo
 

AvailableSolutions

Cloud Contract Modeling™ offers a powerful multi-payer claims valuation engine so every claim is priced according to your specific payer contract terms.
Valuation  is performed at the line item and claim level, taking into account complicated rules.

Welcome to Contract Modeling in the cloud

 

Have anyQuestions?

Contact a Revenue Masters seasoned revenue cycle member today!
INFO@REVENUEMASTERS.COM
1-877–591-2590

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More Solutionss

We utilize our best-in-class proprietary Reimbursement Accelerator solution together in house to collect on your denials and underpayments. No cost to you as we work on a contingency basis. MORE
Have your staff run our best-in-class Reimbursement Accelerator to save time and achieve 100% collectability. MORE
Have your staff run our best-in-class Reimbursement Accelerator to manage and work the denials process to achieve 100% collectability. MORE
Have your staff run our best-in-class Reimbursement Accelerator to save time and manage both payer and patient collections. MORE
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