The Best Healthcare Contract Lifecycle
Management Solutions in North Carolina
As a medical provider in the Tar Heel State, do you feel like you’re constantly battling to keep up with all your complex payer contracts and state regulations? North Carolina’s diverse healthcare landscape, from bustling urban centers to rural communities, demands an efficient contract management system.
North Carolina's Unique Healthcare Challenges
North Carolina’s healthcare providers face distinct challenges:
Rural Healthcare Access
Ensuring efficient contract management for providers serving less populated and storm-ravaged regions
Growing Population
Managing contracts to meet the needs of one of the fastest-growing states in the US
Health Disparities
Addressing contract complexities related to serving diverse populations with varying health needs
Medicaid Transformation
Adapting to the state's shift to managed care for Medicaid beneficiaries
Digital Contract Lifecycle Management Solutions for Healthcare Providers in North Carolina
Embrace digital tools to revolutionize your contract lifecycle management and:
- Educate patients about financial responsibilities based on North Carolina-specific insurance plans, including NC Health Choice and Medicaid managed care options
- Automate communication when services aren’t fully covered by Blue Cross Blue Shield of North Carolina or other state insurers
- Store and manage contracts with North Carolina’s major payers, including Medicaid, Medicare Advantage plans, and commercial insurers like UnitedHealthcare and Aetna
- Validate coverage based on North Carolina-specific service rules before care delivery, ensuring compliance with state regulations
- Ensure accurate coding based on North Carolina’s healthcare regulations and payer-specific requirements
- Flag underpaid claims and submit appeals to North Carolina-based payers promptly, adhering to the state’s prompt pay laws
- Automate alerts for payments below contracted rates with North Carolina payers, including the state’s Medicaid managed care organizations
- Generate reports on revenue impact of contracts with North Carolina’s healthcare networks, such as the North Carolina Healthcare Association members
- Maintain audit trails compliant with North Carolina’s healthcare laws, including the North Carolina Identity Theft Protection Act
- Facilitate quick responses to audits from the North Carolina Department of Health and Human Services and other regulatory bodies
Why Choose VALiNTRY360 for Healthcare CLM in North Carolina?
VALiNTRY360 understands North Carolina’s healthcare ecosystem. Our solutions are tailored to meet the unique needs of North Carolina providers, from large hospital systems like Atrium Health and Duke Health to independent practices across the state.
North Carolina-Specific Expertise
Our team is well-versed in North Carolina's healthcare regulations and payer landscape
Integration with North Carolina Systems
Seamless integration with the North Carolina Health Information Exchange (NC HealthConnex) and other state-specific platforms
Local Support
North Carolina-based support team familiar with the state's healthcare nuances
Take the Next Step in Your North Carolina Healthcare Digital Transformation
Stop contract management issues from hampering your practice’s ability to deliver quality care in North Carolina.
Contact VALiNTRY360 to see how we can create a CLM system, customized for your unique needs.
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