Medical Economics

Hospital personnel and physicians’ knowledge of information infrastructure and claims payment often does not prepare them for the increasingly complex task of reconciling payments from third-party payers. PYA’s in-depth experience with both providers and payers gives us a knowledge base from which we effectively serve our clients. Working for and with decision makers on both sides, we help our provider clients make contract management decisions that maximizing their potential for financial success.

We understand that successful contract management lies not just in a  signed document but also in receiving payment accuracy on the agreed upon terms. PYA has great success in helping providers implement payment systems testing the accuracy of payments made. We also offer denial management services to determine whether payments are being made at all. We work with clients to assure that compensation adheres to signed payer contracts. Our background in negotiating with payers has given us the expertise to find payment problems and recover the money our clients are owed. If you currently are not reconciling payments on an account-by-account basis, call us and find out how our implementation process can protect your financial interests.

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