Commercial Payer Contract Support

OLYMPUS DIGITAL CAMERAHospitals need to approach contract review and negotiations fully apprised of term implications and financial impact. Establishing an appropriate managed care strategy and entering into negotiations with accurate financial models is critical to ensure that your Hospital can negotiate favorable contract terms. Epoch understands the intricacies of contract modeling and has the experience in analytics to provide the Hospital with reliable contract models as well as contract payment integrity.

As payers change their reimbursement models it is important that hospitals also monitor remittance to verify that contract terms are being met.  Based on experience, Epoch is aware that payers often fail to pay claims in accordance with contract terms, which often result in lost revenue.   Epoch is capable of deploying an analytical approach to assess your paid claims data to insure that contract terms are being fulfilled by all payors.

We can help your hospital maintain financial viability by illuminating and monitoring your payer contract details.