Hospital Contracting
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DCI’s web-based Hospital Contracting application empowers health care professionals to
quickly measure the financial impact of existing and proposed inpatient contracts.
The application performs three primary functions:
- Model proposed contracts using historical contracts and claims
- Trend actual claims experience to the expected experience of a model
- Identify claims that appear to be paid incorrectly, based on the contract, for further research
The ease of use and speed of the application modeling features will provide the following benefits:
- Complex options can be quickly modeled to determine financial impact
- More model options can be completed using less employee resources
- Contracts will be negotiated based on knowledge, not assumption
- Counter proposals can be analyzed immediately, eliminating last minute negotiating tactics
- Model analyses are repeatable, use consistent methodologies
The claim validation features will provide the following benefits:
- Incorrect payments are discovered and corrected in a timely manner.
- Automated claims pricing provides greater accuracy.
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