Contract Performance

Do you know how your contracts are really performing? Our experience says you should do your homework on this. We consistently find that contracts are not performing to expectations and hospitals struggle to find the root causes of the problem. Our analytical department ensures that your payor contracts are providing the reimbursement and profits you expect.

• Establish effective rate of reimbursement and compare to expected amount
• Measure contract performance against key performance indicators by service area
• Analyze high dollar cases and percent of collections
• Review reimbursements on carve-outs such as implantable devices
• Reporting includes analysis of problem areas as well as remediation solutions
• Leverage the extensive national managed care expertise of NHPN for best practice solutions in contract language and management