OUR PRODUCTS

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Fully Outsourced Patient Cost Estimator Tool
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100% CMS Compliant with 300 Shoppable Services
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Bundled Cash Prices Calculated on Cost + Markup

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CMS-Required Machine-Readable File of Contracted Rates for Every Service and Payer
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HPS Copyrighted Format
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Based off Client's Transactional Data and Payer Contracts

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Benchmark service packages to identify differences in delivery of care
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Compare prices at the encounter level and by line-item components
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Analyze acuity levels across providers for the same service packages
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Create a pre-service itemized statement to assist in developing a good faith estimate

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Defensible Chargemaster Pricing
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New Prices Modeled with Payer Contracts to Determine Impact on Net Patient Revenues
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Deliverables in Excel Files and Online Dashboard

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Establishes a Compliant, Current, and Accurate CDM
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Ensuring Accurate Reimbursement
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Adjusts Prices to Market and Fee Schedule Rates

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Benchmark Outpatient CPT/HCPCS Prices to Market
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Benchmark Inpatient MS-DRG Prices to Market
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For Each Report, Select up to 14 Hospitals for Comparison

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Data calculated on over $100 billion in hospital spending across 4,100+ facilities
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Benchmark hospital costs, payments, and profitability against market competitors
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Demonstrate high value to payers in contract negotiations

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Identifies all underpayments based on contract terms
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Proprietary payer performance analytics on 837/835
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Calculates cost to collect on underpaid claims

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Stratify outpatient providers by precise resource utilization differences
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Accurately compare costs across providers, adjusting for utilization patterns
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Assist with payer negotiations by highlighting resource utilization efficiencies