Harvest Contract Management System

Features \| Variance \| Denial Management \| Consumer Pricing \| Medicare & Medicaid \| Charge Maximization \| Fraud & Abuse \| Reporting \| Simulation \| Harvest eXchange

"Before I sign, I need to know the bottom line..." It is almost certain that this tool will pay for itself the first time you use it. "I have run as many as eight simulations on a recent contract proposal in hours, where in the past using a spreadsheet format would have taken weeks. I cannot say enough about this product." Director, Fiscal Services Saints Memorial Medical Center

Negotiating Contract Proposals

The Challenge:
You need to level the playing field when it comes to contract negotiations with your payors. Historically, payors have enjoyed a distinct advantage in this arena since they maintain an accurate database of your claim activity upon which they can easily estimate their profit levels. You need the ability to do the same.

The Solution:
The Contract Simulation Module™ provides the capability of modeling net revenue and profitability for contract proposals by applying proposed contract terms to the actual claim data in your Harvest database. The proposed contract terms are easily set up using a built-in Simulation Wizard to create virtually any payment methodology. The profitability analysis is accomplished using RCC-based cost factors, or by importing claim-specific cost data from a cost accounting system. Best of all, our unique "Status Quo Comparison" models a new contract proposal against a payor's current contract methodology allowing you to quickly see the bottom-line effect of proposed changes. Contract negotiations take on a whole new dimension when utilization, cost, and profitability data are at your fingertips!

Model net revenue and profitability for ANY payment methodology, even the most complex.
Contract modeling is done using actual claim data to represent medical staff practice patterns.
Provides in-depth analysis by either Medical Service, Top 100 Diagnoses or by Payment Component.
Can be used for either Hospital or Professional service proposals.
Simulations can be created for a new payor or an existing payor.
Stored simulations can be modified and used over and over again
Simulation models can be arranged "side-by-side" for comparative analysis and negotiation strategy.
Users can filter specific claims in the database to create Patient Populations that mirror estimated contract utilization.
Users can select from multiple fee schedules, comparing the effects of various payor schedules.
Fee schedules can be increased or decreased using fee multipliers applied to the base rates.