Products

Products

  • Fully Outsourced Patient Cost Estimator Tool
  • 100% CMS Compliant with 300 Shoppable Services
  • Bundled Cash Prices Calculated on Cost + Markup
  • CMS-Required Machine-Readable File of Contracted Rates for Every Service and Payer
  • HPS Copyrighted Format
  • Based off Client’s Transactional Data and Payer Contracts
  • Benchmark service packages to identify differences in delivery of care
  • Compare prices at the encounter level and by line-item components
  • Analyze acuity levels across providers for the same service packages
  • Create a pre-service itemized statement to assist in developing a good faith estimate
  • Defensible Chargemaster Pricing
  • New Prices Modeled with Payer Contracts to Determine Impact on Net Patient Revenues
  • Deliverables in Excel Files and Online Dashboard
  • Establishes a Compliant, Current, and Accurate CDM
  • Ensuring Accurate Reimbursement
  • Adjusts Prices to Market and Fee Schedule Rates
  • Benchmark Outpatient CPT/HCPCS Prices to Market
  • Benchmark Inpatient MS-DRG Prices to Market
  • For Each Report, Select up to 14 Hospitals for Comparison
  • Data calculated on over $100 billion in hospital spending across 4,100+ facilities
  • Benchmark hospital costs, payments, and profitability against market competitorss
  • Demonstrate high value to payers in contract negotiations
  • Identifies all underpayments based on contract terms
  • Proprietary payer performance analytics on 837/835
  • Calculates cost to collect on underpaid claims
  • Stratify outpatient providers by precise resource utilization differences
  • Accurately compare costs across providers, adjusting for utilization patterns
  • Assist with payer negotiations by highlighting resource utilization efficiencies