Provider Network Data Management

Our provider network data management process mitigates increased labor costs due to the enhanced complexity of provider payment arrangements and provider network contracts. Efficient provider credentialing services avoid incorrect contract rates in claims.

Case Studies
Risk Score Optimization through CDI
Scope: A major university-based health system wanted a thorough review of their documentation to see if it was supporting the level of care they are providing to the risk adjusted patient population.
Provider Data Management - Process Innovation and Technology Result in Cost Savings
The Challenge: A cost intensive update process required checking data on all provider information update forms, rather than the ones which were actually changed (typically only 40%).