Revenue Cycle Management Companies

Tackle the root cause of revenue shortfalls.

In a healthcare industry increasingly focused on patient experience, revenue cycle consultants have a crucial role to play in the delivery of exceptional patient care.

Improving efficiency throughout a provider’s revenue lifecycle makes life better for everyone: when healthcare providers have streamlined revenue processes, they can focus more of their time and attention on patients.

But even the best coding and billing implementations can deliver underwhelming results if a provider’s prices aren’t optimized for the market.

Unfortunately, getting reliable data on providers’ pricing is isncredibly time intensive – even in the wake of the CMS’s Hospital Price Transparency Rule.

Healthcare Data Analytics can help.

Use Our Data to See Competitor Prices at a Glance

Since the Hospital Price Transparency Rule took effect in January 2021, Healthcare Data Analytics has been gathering, cleaning, monitoring, standardizing, and aggregating pricing data from hospitals around the country.

We present that data in user-friendly dashboards that make it easy to view and compare prices among providers.

Revenue cycle consultants can leverage this information to counsel clients on the ideal prices to charge for services so that providers can optimize net patient revenue.

Average Negotiated Rates of all payer plans for service code 26055

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Get Actionable Insights to Give Clients an Edge

In addition to interactive dashboards, we deliver actionable insights we derive from the data sets we maintain.

For example, we might highlight that one hospital in a regional cluster consistently negotiates higher prices with a certain payer. Revenue cycle consultants can pass this information on to clients to fuel their next round of payer negotiations.

 

For CPT code 44950 (removal of appendix by abdominal incision), Mountain Vista Medical Center has some of the lowest reimbursement rates compared to other hospitals in Arizona. Using this data to help with contract negotiations, these hospitals could potentially increase the amount they are getting reimbursed by some of these large insurance players.
For CPT code 44950 (removal of appendix by abdominal incision), Mountain Vista Medical Center has some of the lowest reimbursement rates compared to other hospitals in Arizona. Using this data to help with contract negotiations, these hospitals could potentially increase the amount they are getting reimbursed by some of these large insurance players.

Get Real-Time Updates When Prices Change

Healthcare Data Analytics can send alerts when providers update their prices. Revenue cycle consultants can then share these updates with their clients to help them strategize pricing and revenue streams for the coming quarters.

Fuel Your Client Engagements with Pricing Data

Data is key to identifying the trends and opportunities that can improve the revenue cycle. Pricing data is essential to ensuring that healthcare providers are optimizing their ability to bring in revenue.

When you partner with Healthcare Data Analytics, you’ll be able to provide valuable pricing insights that empower your clients to stay competitive with their peers. The outcome: a patient experience that inspires long-term loyalty.

Want more information? Get in touch.