Claimtrust manages your hospital’s contracts and continuously monitors payments to ensure contract accuracy.
Claimtrust’s staff will set-up, validate, manage, and maintain your contracts, fee schedules and third party payor rules.
The A|Rmed® Suite offers an integrated contract management solution.
The Commercial Pricer offers real-time identification of potential underpayments and operates as an automatic, hands-off connection between your claims submission and your contracts—decreasing A/R, accelerating cash flow, and enabling your hospital to correctly forecast payment and validate contractual allowances.
After being processed with millions of clinical edits, validated for completeness, reprocessed with payor-specific edits, and analyzed for potential underbillings and missing carve-out items, the claim that your hospital’s billing system initially valued at $75 may be worth $7,500. The A|Rmed Commercial Pricer measures and corrects the gap between what your billing system tells you that your claim is worth, and what Claimtrust’s A|Rmed Suite has found.
Claimtrust offers a variety of other contract management services including:
- Rebilling and recoveries of third party contract underpayments
- Consulting services to assist in future revenue opportunities as identified
- Working of real-time accounts identified but not worked by the hospital staff
- Revenue Cycle Training to billing and clinical staff
- Development of front-end edits designed specifically around the hospital’s managed care contracts
- Creation of a payment and denial trend database by payor
- A|Rmed Feedback Loop
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