Strategic Escalation in the Face of Rising MA Plan Denials Originally published on Becker's Hosptal ReviewRelationships between providers and Medicare Advantage (MA) plans have become more strained as payers aggressively deny claims. To ensure providers' financial...
PARA Data Editor (PDE)
Innovation in Revenue Cycle Management
Access the necessary tools and insights to ensure compliance, prevent revenue loss, and boost efficiency—all supported by our expert consulting services at no additional cost.
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Streamline Revenue Integrity with Advanced Technology
Strategic pricing requires more than just data—it requires insight. At CorroHealth, we use advanced analytics and peer hospital comparisons to help you make informed pricing decisions that support long-term financial sustainability.
With seamless integration, ongoing training, and expert guidance, PDE enables your team to:
Implement Market-Based Pricing Strategies.
Stay Compliant with CMS Regulations
Leverage Actionable Data to Drive Strategic Decisions
Key Features of Para Data Editor (PDE)
PDE is designed to make revenue cycle management easier and more effective with comprehensive capabilities:
Charge Process
Easily add, modify, or inactivate chargemaster items with a simple workflow tool.
Claim/RA Evaluator
Evaluate claims, analyze denial trends, and ensure future claims are approved with 835/837 data analysis.
Payer Contract Analysis
Manage and model all contracts for price transparency, pricing analysis, claim reconciliation, and pro forma modeling of contract terms.
Pricing Data
Access peer market data and competitor pricing to create strategic, competitive pricing models.
Pricing Iterations
Access the net and gross financial impact of various pricing scenarios on your hospital’s performance.
Pharmacy/Supplies Markup
Ensure accurate pricing by managing pharmacy and supply markups with precision.
Filters/CDM
Access past and current chargemaster files to ensure accurate and compliant coding and billing.
Calculator
Research billing information, reimbursement rates, LCDs, NCDs, and more to support compliance and pricing decisions.
Advisor
Leverage a robust educational library featuring updates from MedLearn, OIG, and CMS to stay ahead of industry changes.
CMS Data Mining
Identify and resolve compliance and reimbursement issues with Medicare claims data dating back to 2006.