HFMA Peer Review
ClearContracts Is Now HFMA Peer Reviewed
The Healthcare Financial Management Association (HFMA) recently examined Concuity’s ClearContracts™ product using HFMA’s Peer Review process. After undergoing a rigorous review, ClearContracts™ now features the notable "Peer Reviewed by HFMA" designation.
The Peer Review is a structured process that validates the accuracy, effectiveness, marketplace acceptance, and value of products and services that HFMA members are currently using. The goal of the review is to identify products and services that deliver organizational savings and performance improvement which enhance HFMA members’ day-to-day business interactions and careers. Criteria for a product to display the HFMA Peer Review mark include high survey scores for:
- Enhanced productivity for the individual user and for the customer’s organization
- Ease of installation and use
- Accuracy and reliability
- Good value for price
- Excellent technical support and customer service; and
- An overall positive rating from reviewers based on a quantitative scale
ClearContracts is an ASP payer compliance application that is designed to ensure organizations are being reimbursed appropriately by managed and governmental payers.
The product features includes:
- A user-friendly application that easily integrates with the patient accounting system.
- The ability to proactively capture additional lost revenue cost-effectively, including underpayments and denials – resulting in more cash in the door quicker.
- Capable of modeling complex contracts, including interest on late payments, discounts provided to payers for early payments, APC and DRG reimbursement schedules, and complex stop loss rules.
- Tools to effectively determine the expected reimbursement of a proposed rate schedule containing significant complexity.
- All physicians and departments involved in the denial process
- Allows the customer’s staff and/or the Concuity Revenue Recovery Services staff to work the accounts efficiently and expediently through automated workflows - avoiding any potential conflicts with timely filing on appeals.
- Detailed information on payer compliance history to negotiate more profitable future contractual agreements.
- Accessible, web-based solution for patient accounting staff to review expected reimbursement while following up on patient accounts.
To learn more about HFMA’s Peer Review Process please visit the HFMA Peer Review website.
*HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.
