Bright Medical Associates, a 55-physician, multi-specialty group in Whittier, Calif., has inked a seven-year contract with Austin, Texas-based Medical Present Value Inc. (MPV) to automate payer contract management processes and evaluate overall contract performance.
According to MPV, the group will utilize MPV's combination of contract definition and modeling services and claims valuation technology to detect claims paid at less than the contract rate. In addition, MPV contends it will flag potential registration and posting errors, aggregate and submit contract-based appeals, analyze proposed contract terms during payer negotiations, and improve operational efficiency.
MPV says it will also enable the group to accurately calculate insurance allowables and use applicable deductibles, co-insurance, and other patient responsibilities to determine co-payments.