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.
Through Cloud Contract Modeling™ and our customized payer contract calculators, you will realize the following benefits:
- Ensure that claims are paid according to contractual agreement. Calculates the plan benefit expected contractual and allowable for all payers.
- Expected Payment vs. Actual Payment Received. Identify denials and underpayments.
- Negotiate better contracts. Run side by side or multiple payer contract reports to analyze proposed payer contract changes vs. current contracts for payer negotiations.
- Easy contract modeling. Enjoy the flexibility of having Revenue Masters maintain and update contract modeling for new contracts and/or newly negotiated contract rates or maintain them you with the easy to use modern interface and our contract management training.
- Maintain historical contracts and updates. Alerts for contract expirations.
- Robust Calculation Engine.
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.
- Advanced Exception Based Workflow Technology
- Increase Cash Collections ≈ 7%
- Increase Efficiency ≈ 50%
- Increase Productivity ≈32%
- Reduce Administrative Costs ≈ 40%
AvailableSolutionsCloud 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.
Cloud Contract Modeling
Contract Simulation & Negotiations
Zero Balance Payment Review and Recovery Services - For FREE!
Cloud Contract Comparison
Advantages of the Cloud
Easy to Set-up and Use
Cloud Contract Modeling™ is a robust and user-friendly 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). This allows users to easily create various modeling scenarios. The system provides the ability to simulate inpatient, outpatient and physician terms to determine the full financial impact. In addition, there is the ability to create user-defined historical modeling data sets using your claim history.See More
This Reimbursement Accelerator™ is a single, seamless RCM software solution. The Reimbursement Accelerator replaces up to seven middleware/software systems, including: Contract Modeling, Contract Comparison, Denials or Short-pay Management, Collections Management, Claims Management, RAC/CERTS (take-backs), Patient Responsibility, Business Intelligence Analytics and ERA Explanation of Benefits. The solution eliminates the learning curve and wasted time characteristic of working with multiple, often outdated legacy systems.See more
Contract Simulation & Negotiations can easily simulate payer contracts and their financial impact to negotiate better contracts. We start with the existing reimbursement rates and terms. Then modeling proposed contract profiles for comparison using a copy contract function. This allows users to easily create various modeling scenarios. The system provides the ability to simulate inpatient, outpatient and physician terms to determine the full financial impact. In addition, there is the ability to create user-defined historical modeling data sets using your claim history.See more
Zero Balance Payment Review and Recovery Services - For FREE! We utilize our best-in-class proprietary Reimbursement Accelerator solution which embeds our cloud contract modeling engine. Our Revenue Masters in house experienced collections staff works on your organization’s behalf to collect on your denials and underpayments. No cost to you as we work on a contingency basis.See more
Cloud Contract Comparison provides helps negotiate better contracts. It’s easy to use interface allows you to run side by side or multiple payer contract reports to analyze proposed payer contract changes vs. current contracts for payer negotiations. Save money and alleviate poor contract decisions. Simply pull up a current contract, hit copy, then edit your proposed new contract variables and see your new proposed revenue variables in a multitude or comparison reports available. Save all your historical payer past contracts. Print, email and save reports to Excel. MORE (link to Contract Modeling)See more
Affordability has never been offered before with so much functionality. Revenue Masters solutions are available from affordable solutions for physician groups and rural hospitals to fully scalable multi facility solutions handling terabytes of data. See more
Expertise. Revenue Masters specializes only in health care finance. Our executive team averages over twenty years of health finance experience knowledge from coding to CFO’s . The cloud solutions development team has been constructing scalable cloud software since 1989.See more
The Cloud Advantage.All Revenue Masters software is developed in a state of the art platform built for speed and reliability. Hosted on one of the largest hosting systems in the world with US east coast to west coast backup. All HIPAA and HITECH compliant. See more
Easy to use and set up. Revenue Masters builds software with each type of user in mind. Built to eliminate toggling in and out of different tabs and platforms. Healthcare technology can be easy to set up when it is in the cloud vs. antiquated corporate servers. Enjoy the drag and drop features and ease of use. See more
Have anyQuestions?Contact a Revenue Masters seasoned revenue cycle member today!