Provider Contracting - Modern Provider Contracting

HEALTHCARE

Modern Provider Contracting

Govern every step of contract lifecycle and accomplish a modern provider contracting process that goes beyond being a cost-center to provide business value.

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New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process. An oversight at any stage of the contract lifecycle can result in non-compliance, financial penalties, and an unhappy provider network.

Health Plans require tools to create and manage value-based contracts with providers so they can ensure transparency and uninterrupted care delivery to their members. We offer you a unified platform to fast track your overall contracting process. Leveraging our platform, you can manage the length and breadth of a contract lifecycle from initiation, negotiation, execution, archival, amendments, to renewals.

Brochure: Newgen Provider Contract Management Solution

Download the brochure to understand how you can simplify provider contract management process, expedite paper workflow, and reduce contracting risks by a significant margin.

Contract Management
Automate and control contract creation across processes, from start to finish. With the system’s interview-based contracting capability, leverage an intelligent questionnaire to generate contracts with pre-defined templates

Credentialing Management
Manage provider credentialing in a sequential and organized manner. Retrieve data and documents from CAQH and other credentialing systems. Auto-route cases and provide pre-configured, intuitive checklist to avoid slip-ups

Communication Management
Receive timely and relevant communications via event based triggers. The communications include issuance of welcome, termination and denial letters. Follow-up with providers in case of exceptions, discrepancies and maintain a track of call logs, sites notes, and other issues

Enterprise Integrations
Leverage comprehensive capabilities to integrate the system with core claims, credentialing, provider networking and other 3rd party systems. Pull data from third-party systems via out-of-the-box APIs, allowing seamless exchange of data across systems. The system allows XML based API, Web service API and Java beans over XML level API integrations with various 3rd party systems

Compliance Management
Create and configure contracts, productivity, ageing, inventory, case discard and geo access reports by leveraging extensive dashboards. Download reports in different formats, such as xls, pdf, and csv, etc. Capture audit trails, maintain notes and decision history to be in compliance with rules and regulations

Enhanced Operational Efficiency
Ensure centralized archival of contract data and documents. Eliminate printing, storage, shipping, and other administrative costs, resulting in enhanced operational efficiency

Improved Process Visibility
Track complete contract cases and manage SLAs. Monitor cases at all levels and maintain audit history, thereby enhancing overall visibility across the board

Reduced Error-rates
Eliminate manual handoffs to reduce data entry errors. Avoid misplacement of documents and minimize the overall process turnaround times

Better Compliance
Witness continuous monitoring of contract milestones and deadlines. Overcome process bottlenecks; get detailed case records and ensure compliance with rules and regulations

Improved Accessibility
Witness easy accessibility of contracts by leveraging role-based user access to a centralized repository

Faster Contracting
Expedite contracts with parallel editing, bind variables, reusable clauses & templates and make the overall contracting process much faster

Case Study

Provider Contracting -  Streamlined Provider Contracting with Newgen Solution

Streamlined Provider Contracting with Newgen Solution

Read how the client leveraged our solution to simplify its contracting process and enhanced provider onboarding experience

eBook

Provider Contracting - Migrating to a Modern Provider Contracting Solution

Migrating to a Modern Provider Contracting Solution

Read the eBook to know about 10 capabilities and areas that you must consider when migrating to a new provider contract management solution.