For all of our services:
We develop custom models for each client. We don't force your data into a generic software product.
Our custom models are accurate because we read every contract, model all terms, ensure the mapping of plan codes to insurance products is accurate and test the models thoroughly.
For our defensible pricing services:
We actually model every reimbursement that is impacted by price changes resulting in the most accurate predictions in the industry.
We ensure that the prices make sense and are stepped/leveled appropriately.
We provide you with a pricing methodology that is defensible and one that patients can understand and accept.
We utilize a proprietary algorithm that establishes defensible and competitive prices while generating the optimal amount of additional net revenues.
We provide results by department, payor and charge code.
We provide the client with a basis for every recommended price.
We provide an electronic file, in the client's format, that can be used to upload the finalized prices into the chargemaster.
We model the impact of price changes on Medicare inpatient and outpatient payments.
We model the change in cost-to-charge ratios to avoid a reconciliation of Medicare outlier payments.
We provide monitoring to confirm the projections and provide reasons for variances.
