Experience what may be considered the finest Contract Negotiation & Pricing Transparency Module (Patient Quote) available for Increased Productivity & Reimbursement for Hospitals & Physician Groups. Instantly respond to pricing inquiries with a quote that accurately reflects the patient’s liability as well as the hospital’s expected reimbursement. A report based on facilities, specific payors or all payors by diagnosis, procedures, HCPCS, revenue codes, DRG, MS-DRG, APR-DRG or even by a physician.
Use any combination of these and other factors to generate a Patient Quote using your real-time data. Compliance Pricing transparency is good for any business, and beginning March 1, 2009, it is a CMS mandate for patient access teams. The revised Advance Beneficiary Notice (ABN) requires a cost estimate, and noncompliance carries the risk of a denied claim.
Learn how AllPayor can…
+ Increase collections by providing Patient Price Quotes that accurately reflect the patient’s liability and the hospital’s expected reimbursement based on the actual contract, not just the charge master.
+ Model ALL carve-outs and reimbursement methodologies. Model year over year price increases by revenue code or by a facility, or a number of other ways. Load
your cost from your decision support system and model on a per case basis.
+ Improve your bottom line with Denial Management Reporting/Underpayment/Overpayment-Compliance Reporting.
+ Determine your contractual allowance using your real-time data!
+ Easily roll up reports into your cost report.
+ Model proposed Medicare rule changes for IPPS/OPPS for the upcoming year.