When it comes to payer-provider contracts, it often feels inequitable, with each side doing what’s in their own best interest. For example, some payers have a tendency to carve 3-5% out of a contract every time one is negotiated. Meanwhile, many providers sign payer contracts without negotiating, leaving valuable dollars on the table. In order to maximize revenue in the midst of an endlessly changing environment, it is imperative for health systems to master the contract negotiation process.
White House Price Transparency Order Changes the Healthcare Landscape for Patients and Providers Alike
Following the presidential order regarding price transparency, healthcare providers may be wondering, "where do we go from here?" Leaning into an access management system will be integral to creating true price transparency and bringing clarity for patients and front-line staff.
Brian DeWeese, VP Client Services for The SSI Group, knows there are three components in HIS — hardware, software, and people. That's why his team of support specialists, ranging from Epic to Cerner to MediTech focuses, are driven to help customers succeed by the numbers, reducing denials and increasing clean claim rates.
Now is the time to become more proactive with your denial management efforts. It is no longer a best practice to stamp the claim form with “APPEAL” and send it back in. More and more, revenue cycle teams are seeking a strong denial management solution.