We understand that containing costs is the biggest challenge payers face today. Implementing new technologies, processes and other cost-containment strategies takes time and resources – something most payers do not have enough of. That’s where HealthEdge Source™ Professional Services can help. Our HealthEdge Source experts are stewards of our solution, with a mission to equip your internal teams with the knowledge and support to strategize, operationalize and realize cost containment measures that impact your bottom line.

Features

Contract Configuration

Our subject matter experts partner with your team to configure contracts within HealthEdge Source, including configuration of default rates, custom carve-outs, fee schedules and other complex terms.

Contract Maintenance

Evaluate existing contract configurations used by your team and identify areas for optimization to reduce maintenance and improve workflow.

Enterprise Benchmarking

Reprice every production claim at any frequency in a post-return analytics queue and create a 100% Medicare baseline result grouped by dozens of categories in multi-dimensional reports.

Data Studies

Gain insight into your business and make informed business decisions based on actual modeling scenarios. Customized for existing clients and prospective clients.

Product Education

Go beyond standard implementation training and gain a deeper understanding of specific product components, including configuration design, edit creation, training on new features and more.

Content Education

Learn more about all aspects of policy and payment methodologies, including provider type methodologies, policy-specific aspects, and CMS updates and revisions.

Agile Services

A unique service offering to accommodate your business needs. Focus may include combining multiple Professional Services offerings, exploration of workflow challenges, specialized enhancements, integration and data mapping, and more.

Edit Creation

Optimize your edits with our team of experts for the design and development of net new edits in Source.