KEY FEATURES
Reimbursement Rate Analysis
Benchmark rates for all your CPT® codes, by payer (individual code and in aggregate) to Medicare PFS Locality Rates and to the rates of other payers in the region. Compare your reimbursements on an ongoing basis; test the adequacy of your charges and much more.
Payer Analysis
Instantly compare reimbursement rates for all payers, test payer offers and your counteroffers, generate alerts for renegotiations based on payer contractual terms, templates are provided to draft and submit proposals to payers.
Business Modeling Functions
Determine what various reimbursement rates will do to your bottom line, in aggregate and by CPT® code, for all your payers. Perform the relevant financial analyses needed to make the right decisions for your medical practice (business).
Inventory and Negotiations
Store all of your payer contracts and related fee schedules in one easy to find place. Templated payer requests and proposals are auto-generated and auto-saved (on your letterhead) for you, based on the information in your contract inventory.