Why Rivet Payer Performance Software?

Rivet Payer Performance Contract Mangement images (2)

Add customized
views for future use

See both under
and overpayment

Filter claims the way you'd like

See who's assigned

See line
item details

Add customized
views for future use
See both under
and overpayment
Filter claims the way you'd like
See who's assigned
See line
item details

Healthcare revenue earned is not always revenue realized.

The Problem

Newsflash— you’re getting underpaid. Insurance companies underpay at an ever increasing rate and they have the upper hand since it's difficult to find time and resources to appeal.

In the end, you're losing out on revenue. You need a system to cull and manage your contracts and fee schedules and help you know where your rates stand against others in your area.

Without a contract watchdog, you're leaving money on the table.

The Solution

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 optimize reimbursement and assess claims analytics to gain key insights on your claims, your revenue, your pricing, and what money needs rescuing.

How Rivet Strengthens

Payer assessment &
benchmarking

Compare contracted rates with any local, state, or national rates
Assess health of payer relationships
Export reports to share with payer reps

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Renewals and expirations for contracts image

Payer contract
centralization

Easily store complete contract database
Streamline lookups with rate view dashboards
Manage contract renewal timelines

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Payer contract change modeling for negotiations image

Contracted rate modeling

Explore potential changes to enhance contract negotiations
Create proposed scenarios to see how to maximize financial performance

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Auto-payment variance detection

Identify why short payments are occurring with always on auditing
Assess systemic variances to scrub issues at scale
Audit all payers instantly for insurance payer downcoding

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Fast-work
recovery

Appeal relevant underpayment projects by payer and appeal type for empowered reimbursement
Track, reprocess & resubmit through saved notation and documentation

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Heroes recovering their revenue with Rivet

Build a backbone for your data

AI algorithms 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.

Know what’s right for your business

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.

Rescue your reimbursements — faster

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.

What our customers say about our payer contract management software

“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