Fee Schedule and Contract Management
Modeling the way your contracts are negotiated is essential in assuring that you are paid each and every time by your payor. DataPlus has the solution with our easy to use Contract Management System. Once your fee schedule is loaded, the Payment Audit System automatically looks at each payment made during the contract effective dates, and assures that each payment was made appropriately.
Fee schedules can be loaded to the contract in multiple ways
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Medicare Fee Schedules are automatically imported for every year from 1998 forward, for both facility and non facility and ASC. These fee schedules are for the carriers in your area so there is no second guessing the correctness, and no hand keying. The fee schedule is loaded via our internet portal in less than 30 seconds.
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Non Medicare fee schedules can be established in a number of ways.
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Imported from a text or pdf file
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Based upon RBRVS or St. Anthony RVU's (we provide these values electronically each year)
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Based upon a percentage of another fee schedule
Each contract can be modeled to your negotiation type, and apply rules to modifiers that increase or decrease the allowed amount, and rank multiple procedures according to RVU, Allowed Amount or Charge Amount.
No other system provides such an easy to use, intuitive process to monitor your claims!
Standard Medicare Contract & Fee Schedule
Standard RVU Contract & Fee Schedule
