Medical groups spend a great deal time reviewing the contracts they enter into and one of the most important points in your contacts is how much they going to pay for your services. Ideally this should be an addendum to the contract that lists by CPT all of the services you provide and the contracted rate for each. If there are to be yearly increases these should be described in detail as well. At the very least your top five revenue producing contracts should have the this type of addendum in place. With this in place you can be assured that you will be paid what you have agreed if your system provides for contract monitoring.

Our system allows for the loading of expected/contracted payment profiles so that you check and make sure that third parties are paying the correct contracted rates.

Features :

Contracted rates are loaded by carrier by CPT.

Rates can be loaded for future dates if the contract includes rate increases.

Payment posters are notified during the payment application process that an under-payment has occurred.

Reports are run to ensure that the contracted rates are being paid by the third party.