With Provider Contracts, What You Don’t Know Can Hurt You.
TractManager’s Provider Analytics helps you decode important data in your provider contracts.
There’s important data buried deep in your provider contracts. The problem? This data isn’t easy to access. Whether you’re looking into physician total compensation, managed care contracts, or all contracts being reviewed as part of merger or acquisition due diligence, your organization needs to automatically identify contract variability that increases your compliance risks.
AI-Powered Analytics to Drive Your Organization.
From insights to action—let TractManager’s Provider Analytics help you effectively manage your provider contracts.
TractManager’s Provider Analytics solution analyzes key terms and conditions in your contracts to help you better manage provider relationships and physician compensation, understand your total responsibility during a merger or acquisition, and ensure compliance with regulations from accrediting organizations and state and federal agencies. With artificial intelligence powering our Provider Analytics, you’ll gain more visibility into your contract data, taking your organization from insights to action even faster.
Insights that Drive Compliance.
Our Provider Analytics solution gives you insight into four key areas:
Physician Compensation Analytics: Gain unparalleled visibility into the total compensation relationship between your organization and its physicians—including base compensation structure, medical directorships, call coverage arrangements, leased office space, and resident supervision.
Managed Care Contract Analytics: Evaluate your organization’s payer contracts and deliver insights to help you better understand the reimbursements, including changes in payer rates and coverage, reimbursement rules, requirements for quality metrics, and more. Identify potential reimbursement challenges.
M&A Contract Analytics: During the merger and acquisition due diligence period, analyze key business and legal terms found in all pre-existing contract relationships, including provider agreements. Use these analytics to identify your organization’s risks, negotiate more favorable contract terms, and find savings opportunities.
CMS Open Payments Insights: Surface payment data from the CMS Open Payments database to help you better identify potential compliance issues with payments between physicians and pharmaceutical companies and device manufacturers.
Mine Your Contract Data, Uncover Your Risks.
Without the right insights, your organization could face these financial risks:
Anti-Kickback Statutes – Criminal fines of $25,000 and Civil fines up to $50,000.
Stark Law – Civil penalties up to $15,000 and Willful Circumvention penalties of $100,000.
Physician Payment Sunshine Act – For providers who fail to report vendor payments: Civil penalties of up to $10,000 per payment. For providers who don’t submit payment information: Penalty of up to $100,000 per payment.
An Integrated Approach to Provider Management.
TractManager’s Provider Contracting solution is a software-enabled service that expedites the provider contracting process, putting providers in front of patients faster. Provider Contracting is anchored by MediTract CLM, our patented, healthcare-specific technology developed for healthcare professionals, by healthcare professionals.
TractManager is one of only two CVOs in the nation that are NCQA Accredited in Credentialing. Our technology-enabled credentialing service shortens the credentialing timeframe from 180 to 30 days and reduces credentialing-related claim denials and edits.
As the nation’s premier provider of cloud-based enrollment software and services, TractManager helps clients take control of their revenue cycle. We reduce the time it takes to enroll providers with both government and commercial payers and help health systems identify potential financial risks.
To Delegate or Not to Delegate – That is the Credentialing Question
Realize improvements in the processes that govern the growth and representation of your network, shorten turnaround times for network participation, enhance provider experience and brand integrity, and expedite access to revenue.