Contract Management & Recovery

Many hospitals and physicians are not properly equipped, either in information infrastructure or claims payment knowledge, to deal with the increasingly complex task of reconciling payments made by third party payers. The in-depth experience at PYA from both providers and payers has provided us with an all-encompassing knowledge base from which to more effectively serve our clients in this area. By working for and with major players on both sides, we are able to help our provider clients make the best decisions regarding contract management, maximizing their potential for financial success. We understand that the key in contract management lies not only in what has been signed, but also actually achieving payment accuracy on the agreed upon terms.

PYA has achieved success in helping providers implement payment systems testing the accuracy of payments made. We also offer denial management services to determine whether or not payments are being made at all. We can work with clients to ensure that they are being compensated correctly according to their signed payer contracts. Our vast experience negotiating with payers has given us the expertise necessary to find payment problems and recover the money our clients are owed.

If you are not currently reconciling payments made on an account by account basis, please call us to discover the value of this product and the feasibility of implementing processes to protect your financial interests.

Services Offered:

• Underpayment Identification and Recovery
• Payer Contract Review and Modeling
• Contract Management Systems Testing