Uncover risks and opportunities

Revenue Cycle Integrity

Key Features

Download your fee schedule in seconds

Skip months of waiting for payers to send a PDF version of your fee schedule. Download your fee schedule by NPI, tax ID and payer in seconds.

Automatically update your payer fee schedule every month

Configure an automatic fee schedule download, or use our APIs to keep your billing systems up to date.

Export data to Excel for claims auditing

Import PayerPrice data directly into your existing Excel workbooks - no custom code required.

Automate revenue integrity with APIs

Sync your fee schedule and automate claims audits by leveraging PayerPrice APIs.

Determine usual and customary rates (UCR) for out-of-network repricing

Reduce OON payments by identifying in-network contracts or UCR rates.

Determine QPA for independent dispute resolution

PayerPrice will show the the true QPA so your practice can win correct judgements in the IDR process.

Revenue cycle analysis is a lengthy process hindered by drawn out negotiations and obfuscated data.

The Challenge

Revenue Cycle Integrity starts with a clear understanding of your fee schedule. And whether your work in RevCycle, Contracting, Finance, we've all experienced the friction of finding a fee schedule. With PayerPrice, you can avoid months of back and forth with a payer, and pull fee schedules for all payers, all procedure codes, at the click of a button.

PayerPrice revenue cycle reports provide up-to-date contract data in a convenient spreasheet or via API.

The Opportunity

PayerPrice simplifies revenue cycle auditing by providing up-to-date contract data in a convenient Excel spreadsheet or via API. Keep your RCM systems up to date, and ensure your claims are paid on time and in full.

PayerPrice enhances revenue integrity with precise data handling and reporting capabilities.

The Impact

$20 Million Recovered: From previously undetected discrepancies in claim payments for a major hospital network, directly enhancing their revenue integrity.

40% Reduction in Audit Time: Our clients experience streamlined operations, thanks to precise data handling and reporting capabilities that cut down on traditional auditing durations.

Unlock the Full Potential of Your Healthcare Operations

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