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 Identify and reconcile Payment Variances and Denials with Parathon® CM/DM - Contract Management / Denials ManagementParathon® CM/DM calculates contracted reimbursement using edited claim information and compares it to actual payments, including patient responsibility, to better identify the true sources of payment variances – payer versus patient.Parathon® CM/DM incorporates 835 detail to automate tracking payments, patient responsibility and denials. Detail is used to identify sources of payment variance, track types of denials, reasons denied, and lost reimbursement from denials. Given this information providers can more easily identify and analyze payment and denial details.
Model, Manage, and Monitor ALL Payer Contract Terms with Parathon® M/SP - Modeling/Strategic PricingParathon® M/SP predicts reimbursement impact through detailed modeling and Charge Description Master (CDM) price sensitivity analysis. This tool automates the cumbersome process of anticipating the downstream effects of annual CDM price changes. Parathon® M/SP reports the sensitivity of contract reimbursement to price changes at the service level.
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