Revenue Integrity

Like any business, your Practice is challenged by competition which means Hospital contract management should be core to your business strategy. Drawing on decades of firsthand experience, Brault can help you develop strategies that result in more equitable contract and payment terms, reduce your Group’s reliance on subsidies, and improve your long-term contract retention strategy – all without compromising your existing hospital relationship or patient satisfaction.

Once you partner with us, Brault will provide a revised fee schedule for your review, and annually thereafter. For each CPT code, we will identify the practice’s current fee, if one exists, compare fees charged by other physicians in your area, and check other relevant industry reference points. We will review the schedule with you and incorporate any changes requested, prior to your approval. We will also suggest periodic revisions, including each year, when the AMA revises and issues its new CPT manual. We will delete outdated codes and add new ones, and suggest fees that are appropriate for your market area.

Brault extensive claims review process was developed specifically to account for each payer’s rules toward denying and under-paying claims. Our detailed reports allow for plan-specific interventions, with all of the data necessary to achieve a full settlement.

This ability to identify patterns in denials and down coding, allows us to take a more aggressive approach to delinquent claim management, aggregate claims processing, and complaint filing with the various state regulatory agencies that oversee unfair payment patterns. And, over the past several years, we have successfully secured millions of dollars’ worth of payer settlements for our Clients.