January 14, 2008 - Concuity today said Edward Hospital in Naperville, IL selected ClearContracts to improve the management of payment variances, denials, and revenue recovery and EOB Pro to retrieve, consolidate, and standardize electronic remittances from multiple payers into 835s.
“To increase efficiency, we wanted to employ only one application combining payment and denials management with contract management; hence, why we selected Concuity,” said Todd Conklin, vice president of finance, Edward Hospital. “They offer a proven user-friendly, integrated suite that generates efficiencies and a better bottom line.”
Web-based ClearContracts enables healthcare organizations to analyze overall contract performance, verify expected reimbursement, and enhance the financial profitability of new and proposed payer contracts. ClearContracts allows users to analyze every single claim flowing through their systems, based on the complex terms of their contracts, including carve outs, high cost drugs, stop-loss, and many other payment methodologies. With ClearContracts, health organizations can quickly gain control over payer contracts to recover lost revenue due to underpaid claims. The EOB Pro system extracts all data necessary for applying cash to patient accounts, and imports into ClearContracts for contract underpayment and denial management.