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Ensure you are being paid fairly relative to the market
Careignition helps providers benchmark rates, model contracts, and monitor performance across every payer relationship.
Hospital Rate Comparison — Inpatient
Dollar per DRG Weight · 23 hospitals, one market
Contract scenario
OPPS Conversion & DRG Weight Change
Next 12 months
+1.1% on $1840M
Powered by Contract Modeling, Market Intelligence, and Consulting
Ensure you are being paid fairly relative to the market
Negotiate payer contracts from a position of market knowledge
Ensure your shoppable services are in line with the market when necessary
Negotiate payer contracts by understanding the impact of the terms and policies they have and raise with you
Monitor contract performance and identify underpayments and unfair payment
Make recoveries and claims tagging straightforward
$25MM increase over one engagement with a payer that was systematically underpaying
$3MM in retained revenue from coding errors and contract provisions that would otherwise go unnoticed
Modeled a $1B+ renegotiation to reflect a new ambulatory strategy