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Contract Management

Cloud-based provider and facility contract management solution that is highly flexible and configurable to the specific needs of the organization.

Emerging new business models like ACOs and value-based reimbursement and ever increasing provider network consolidations require more flexible approach for contract management to ensure proper pricing and payments. VIDAContract™ simplifies managing contracts for health care payers to overcome the increasing complexities

VIDAContract

Benefits

  • Increases productivity by simplifying and streamlining contract management
  • Improves organization’s performance through accurate pricing and payments

VIDAContract

Advantages

  •  Allows the end-user to add single or multiple coverage groups to a contract and assign a fee schedule or a payment methodology (i.e. percent of billed charges) to a coverage
  • Handles all types of payment methods to calculate payments, including per diem, variable per diem, case rate, flat rate, percent of billed charges and capitation
  • Identifies contracts as Participating (PAR) or Non-Participating (Non-PAR)
  • Assigns PAR and Non-PAR contracts per a Line of Business (LOB)
  • Enables configuration of authorization requirements, assignment of rates to a fee schedule and defines effective and termination dates at the contract coverage level
  • Allows configuration of bill types at the contract-coverage level as well as specific place(s) of service; provider types and provider specialties
  • Ability to flag a contract coverage to pend a claim for manual review  Able to apply timely filing days per State or Federal requirements

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VIDAContract™ Datasheet

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