Newsflash— you’re likely getting underpaid. It’s harder and harder to know what's expected from your payer contracts, especially when payment variances occur.
In the end, you are left losing out on the revenue your team worked hard to earn. The knowledge to know what is actually owed, based on contracted payer rates, accelerators, and accumulators means that along with eagle eyes to see through walls of opaque data — you need a system to cull and manage your contracts (and help you know where your rates stand against others in your area).
Without it, you are not only potentially leaving money on the table — you’re not able to model scenarios to negotiate for the most advantageous contracted terms. It’s like you are on a teeter totter without a way to get your feet on solid ground.
Good thing Rivet can help you find not only your footing on payer contracts, but also help recover your money: fast. We build a solid foundation for you; centralizing your payer contracts like a backbone for your billing workflows. With it all in one place - you can model the best terms for a new contract, compare payers to each other to know who is optimal and assess claims analytics to gain key insights on your claims, your revenue, your pricing, and what money needs rescuing.
Bring your payer contract data together to unlock the knowledge you need to fuel your business and your accounts receivable. With the right information at your fingertips and an easy way to make sense of it — you’re ahead of the curve that you did not know you could ever straighten out.
With a strong centralized data brain performing at its peak to help you recognize your revenue potential — Rivet delivers the must-have tool every healthcare organization needs to review payer rates compared to local competitors. The contract management process also allows you to assess, manage and negotiate contract needs to make the most out of every clause in a contract, from escalators to rates and everything in between that can make you the business success story you deserve to be.
Rivet turns on the light in your reimbursement black hole by auto-detecting and reporting on payment variances — faster than most revenue cycle management systems. Knowing where to dig for gold is only the first part of the equation. We also offer the easy-to-use platform on which to recover your revenue and resolve systemic submission issues with validation logic to correct future issues.
“I just fell in love with the underpayments solution. I loved the analytics piece, the reporting, that it was so easy to use, that you could drill down different ways, and that it integrated with our practice management system. I knew this is what we had to do and it’s been a great investment for us. ”
Tonia Bateman
Business Office Director
“ It's been a really great tool to maintain our contracts and identify underpayments. It's nice that everything lives in one place, and I'm not going all over to find what I need or opening all these different spreadsheets. I have one central tool that I can track and monitor payments and move them into worklists depending on their completion status. The current list of underpayments I’m working on will pay for the tool by itself and that’s huge.”
Travis Seymour
Contract Management Specialist
“With how quickly Rivet responds [an average 30 seconds wait time!] we feel like their team is right in our office.”
Kellie Ickowski
Practice Administrator
“Medical contracting is like the biggest black box. It’s confusing on our side as the providers, and it’s confusing on the payer’s side as they adjudicate claims. There is no way to know how well your contracts are performing without a tool like Rivet. The analytics and data aggregation tools in Rivet are great: we can sort and display claims data in ways you’d never be able to do on your own. It’s awesome. Rivet’s software is a necessity to manage medical practices of any size.”
Peggy Harris
Chief Financial Officer
“Everything I need to work a claim is in Rivet. I can analyze an individual claim without jumping through hoops and going through the payer’s website. It’s all there for me. I can customize my worklist and my team can customize theirs. We work on our own lists and even assign one another to a claim we’re working on, just to get a second pair of eyes on the claim. ”
Angela Phillips
Medical Billing Specialist