Manual For Mckesson Revenue Management
Automate contracting tasks. Configurable, automated workflows replace inefficient, paper-based processes, helping you speed the creation, distribution, and approval of provider contracts and bulk amendments. Online negotiation tools, digital signatures, and automated contract requests improve process efficiency. You can easily share proposed terms with hundreds of providers via email. Automated processes help you maintain contract compliance, increase transparency and minimize risk – while reducing your administrative costs. Help reduce contracting risks.
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A centralized repository of contract templates improves the use of approved contract language terminology, helping to ensure clarity and support the accurate representation of contract intent in claims payment. Contract Manager incorporates PADU (Preferred / Acceptable / Discouraged / Unacceptable) rankings of terms and contracts to help you identify the level of risk associated with contracts. Full audit tracking helps improve compliance and more easily support regulatory audits.
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Speed accurate implementation. Contract Manager is designed to work with Reimbursement Manager and Provider Manager. Together, these products help automate the contracting lifecycle to enable accurate, complex payment arrangements. Web services allow you to import triggers, such as a new provider enrollment, to automatically launch contracting activities and shorten contracting lifecycles.
Contract and rate auto-loading capabilities let you export contract terms and rate details to payment systems to eliminate manual configuration and reduce errors.
McKesson Health Solutions has been awarded a patent for proprietary technology at the heart of and other provider network management products. The is specifically for the system and method McKesson Provider Manager uses to unify information flow, business rules, and complex healthcare-related processes into an integrated set of core applications. By bringing together traditionally fragmented, multi-layered silos of a healthcare organization, the invention allows coordinated management and automation of back office functions within one system. A consistent and up-to-date view of critical healthcare information is delivered to all stakeholders, and provider information and processes that were disjointed and managed manually become a robust strategic asset. This marks the second patent granted for inventive technology behind McKesson Provider Manager. Earlier the USPTO issued for McKesson’s Provider Gateway™ technology, and how it delivers results for complex provider searches across multiple datasets during peak transaction loads—such as claims adjudication—in less than one millisecond. “Health plans have a tremendous volume of complex business processes that must often, if not always, operate in parallel and provide immediate results,” said Carolyn Wukitch, Senior Vice President and General Manager of McKesson Health Solutions.
“The patented technology at the heart of McKesson Provider Manager helps health plans ensure they can serve their providers and members in real time, with automated rules that let them see, update, report, and act on opportunities and demands across the enterprise. It’s another example of how we continue to invest in innovative technology that helps payers better manage provider networks, implement and scale new value-based reimbursement models, enhance payment accuracy, and reduce administrative costs.” In the past, health plans used to employ a brittle mix of manual, hand-made, and limited commercial IT solutions to manage their provider networks. Today, thanks to the unique technology described by these patents, McKesson Provider Manager is helping payers across America create a single source of truth for their provider data to best support their needs, and those of their providers and members.