Valetude's contract engine has been proven in over 150 hospitals nationwide for managed care, Medicaid and Medicare for primary and secondary payers. Expected payment calculations can be used to appeal underpayment variances and denials, or to prioritize charge capture and coding initiatives. Results are linked to our RCI Engine and can be used to build work queues.
Valetude's contract modeling solution is optimized to process hundreds of patient calculations per minute. The platform is streamlined for efficient interaction, allowing last year's contracts to be copied to the current year and insurance plans to be easily mapped to contracts. Use modern, web based tools to bulk upload fee schedules in seconds.
Utilizing these features, our clients are able to quickly update and reprocess retroactive changes. For convenience, Medicare tables are imported directly from a CMS system.
Valetude software supports all standard contract providers and rule types, and provides mechanisms for constructing custom logic where necessary.