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Eligibility: Contract Language (Payer v Provider) and Sample to Use

Eligibility: Contract Language (Payer v Provider) and Sample to Use.

Payer Contract Modeling

Contract modeling, or analyzing potential scenarios of reimbursements to understand financial outcomes, provides a proactive approach to financial management by analyzing the impact of different elements such as methodologies, rate changes, pricing, payor mix shifts and ever changing regulations on margins, rather than net revenue alone.

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