Icertis is empowering leaders to rethink the role and power of the payer contract in a robust Revenue Integrity program.
2023 reporting shows operating margin indexes for healthcare providers averaging -0.725% YTD, putting hospitals in a vulnerable position should a recession or a new public health emergency materialize. To address razor-thin operating margins, leaders are investing in revenue integrity to effectively curb leakage. In addition to deploying revenue-integrity-centric teams, facilitating claim audits, and implementing financial and revenue cycle management technologies, hospitals are beginning to invest in an often overlooked but extremely critical component to the success of a managed care program – contract intelligence.
At the heart of payer-provider relationships is the contract that dictates patient care reimbursement terms and conditions. Icertis is empowering leaders to rethink the role and power of the payer contract in a robust revenue integrity program.
Icertis Contract Intelligence (ICI) acts as the central nervous system for a revenue integrity program by turning payer and accountable care organization contracts into strategic advantages. The ICI platform analyzes payer contractual agreement terms and clauses and surfaces relevant insights and risks. Here are some of the ways that ICI bolsters revenue integrity initiatives:
Healthcare providers are rethinking the role contracts may play in their revenue integrity programs and exploring contract intelligence capabilities. As you do the same, reach out and schedule a demonstration of the Icertis solution to learn more about our unique approach.
Icertis Contract Intelligence for Healthcare Providers is the only contract lifecycle management system that digitizes contracts, automates workflows, and comes with an AI model built for the provider experience.