o     A contingency based contract modeling - payer underpayment – denial management solution which won't cost your hospital a single penny.

o     Business intelligence (BI) to put your hospital on the offensive with payers

o     Claim adjudication to validate payer remittances individually and on a contract by contract basis.

o     Guaranteed to maximize hospital net revenue yield, generating cash for your organization up to seven figures annually.

 

SureDecisions Pay will get you there by taking 4 steps

 

Contingency Based ROI Solution – As healthcare financial executive of course you are concerned with costs. SureDecisions Pay provides a world class bolt-on application which requires no capital investment by your hospital. That's right; SureDecisions Pay actually pays for itself. We have been in the business for over 10 years and contract modeling and net revenue recovery is our specialty. Our solution provides your hospital the tools to systematically:

·     match payer claims codes

·     manage payer denials & underpayments

·     model contract terms, and

·     feed this information into a predictive modeling tool so you can manage payer negotiations and maximize net revenue yield. 

 

We put you in control! 

 

As a result we are able to offer our services through a “success” fee arrangement because we know how to help you reclaim lost net revenue. What could be better? 

 

Denial Management – Current trends suggest that payment discrepancy may be more prevalent in the form of denials than underpayments, and SureDecisions Pay will alleviate the financial risk of payer denials with equal precision. Legacy HIS vendor systems are not equipped to effectively manage denials across the landscape of disparate payer adjudication systems. SureDecisions Pay enables a full identification with user-defined denial coding and trending and empowers revenue cycle managers with knowledge needed to take corrective action and insure maximum reimbursement.

 

Fully Integrated Solution – Our high aspiration is to create win-win partnerships with our hospital clients. In fact, it's our competitive advantage. We carefully manage human capital along with technology and proven process as we help you become self-sufficient using SureDecisions Pay. Initially we bring our team of subject matter experts and work with you to put your hospital on the offensive with contract payers. We work with you interactively to help you achieve net revenue goals first. Because we work on a contingency basis we are focused on success with you as our partner. Once we have reached these mutual objectives for net revenue recovery then we work to help you bring this function in-house. Our goal is to train your staff and prepare them to manage the relationships with your contract payers as soon as possible.