CorVel offers Chargemaster Profiling with the ability to filter through our database and provide further definition, analysis and comparison of line item charges to track specific provider pricing patterns. This profiling includes detail down to the line-item level, specific to a particular facility or provider, based upon their unique tax identification number.
Utilization of the Chargemaster Profiling Reports offers our customers the opportunity to monitor and audit specific providers or facilities in their networks. CorVel offers a tool for our customers to ensure that providers are in compliance with current contracts, offer negotiation tools for renewal of those contracts, and ensures proper reimbursement based provider contracts.
Features
- Capture "line-item" data
- Detection of price increases/changes
- Identification of provider’s charges relative U&C
- Identification of billing practices, abuse and fraud
- Matching of facility terminology and sorting to chargemaster
- Comparative data for specific hospital or geographic region
- Customized reporting
