The Revolution Has Begun!

Healthcents Physician Contracting has been in the trenches negotiating and valuating health care contracts for clients since 1994. Now, we have brought our experience and expertise to bear by arming you with the tools to easily and conveniently access the same kinds of data and information that payers are looking at in negotiations.  This tool can help you substantially increase your revenues by providing the knowledge that you need to be effective in a negotiation.  Even without negotiations, charge master adjustments, and our out of network modeler often will increase revenues when the information provided is put to work.

Key Features and Benefits of Healthcents RevolutionSoftware:

• Rate Analysis: Compares your rates by CPT code to what other similar providers are receiving from payers for your same CPT codes in your medicare locality, your state and across the USA*. Also provides you your CPT code rates as a percentage of Medicare in your medicare locality.

• Business Models:
  • Out of Network Modeler: Helps you model and compare your current and projected contract rates in a payer's network vs. out of network
  • Bill Charge Modeler: Helps you manage your charge master rates to insure that bill charges are set at reasonable levels for both your in network and cash paying patients
  • Claims Modeler: Helps you to determine whether or not you are being paid accurately based upon comparing a sampling of claims to your contracted rates

 

• Contracts Analysis: Looks for key operational language such as term and termination, claims processing requirements, insurance requirements, "lesser of" language, multiple procedures, and implants and provides information to help you maximize the flexibility of your contracts

 

• Geographic Look-Up: Find out how many similar practices are within a small radius. Allows you to know who they are and how close they are to you.

• Repository: A place to store all of your contracts and documents related to those contracts, on-line, in one easy to find secure location. Internet-based web service with security by client.

• Other Key Benefits:
  • Only known tool that automates the analysis of provider insurance contracts.
  • Initial version supports Physician and ASC agreements.
  • Completely web based:
    • Log on from anywhere, any time
    • No software to install
    • All that is needed to run the tool is a web browser and internet connection

* Data provided where available