The Best Healthcare Contract Lifecycle
Management Solutions in Texas
Do you feel like you’re fighting an uphill battle managing intricate healthcare contracts and regulations in the Lone Star State? Texas’s diverse healthcare landscape, from bustling metropolitan areas to vast rural regions, demands an efficient contract management system.
The Healthcare Challenges Facing Texas
Texas’s healthcare providers face distinct challenges:
Large Uninsured Population
Managing contracts while addressing the needs of the highest uninsured rate in the nation
Vast Geographic Expanse
Ensuring efficient contract management for providers serving both urban centers and remote rural areas
Diverse Population
Tailoring contracts to meet the needs of Texas's multicultural and multilingual communities
Medicaid Expansion Debate
Navigating contract complexities in a state that has not expanded Medicaid under the Affordable Care Act.
Digital Contract Lifecycle Management Solutions for Healthcare Providers in Texas
Embrace digital tools to revolutionize your contract lifecycle management and:
- Educate patients about financial responsibilities based on Texas-specific insurance plans, including the Texas Health Insurance Exchange options.
- Automate communication when services aren’t fully covered by Blue Cross Blue Shield of Texas or other state insurers.
- Store and manage contracts with Texas’s major payers, including Medicaid, Medicare Advantage plans, and commercial insurers like UnitedHealthcare and Aetna.
- Validate coverage based on Texas-specific service rules before care delivery, ensuring compliance with state regulations.
- Ensure accurate coding based on Texas’s healthcare regulations and payer-specific requirements.
- Flag underpaid claims and submit appeals to Texas-based payers promptly, adhering to the state’s prompt pay laws.
- Automate alerts for payments below contracted rates with Texas payers, including the state’s Medicaid managed care organizations.
- Generate reports on revenue impact of contracts with Texas’s healthcare networks, such as the Texas Hospital Association members.
- Maintain audit trails compliant with Texas’s healthcare laws, including the Texas Medical Records Privacy Act.
- Facilitate quick responses to audits from the Texas Health and Human Services Commission and other regulatory bodies.
Why Choose VALiNTRY360 for Healthcare CLM in Texas?
VALiNTRY360 understands Texas’s healthcare ecosystem. Our solutions are tailored to meet the unique needs of Texas providers, from large hospital systems like Texas Health Resources and Baylor Scott & White 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 Texas Healthcare
Digital Transformation
Don’t allow contract management issues to impede your healthcare operations in Texas.
Let VALiNTRY360 build you a CLM platform customized for your growing Texas practice.
IN THEIR OWN WORDS
They have a sharp team, really understand the platform, and take the time to understand our processes. They ask the why behind some of the requests we’ve made and help us to understand where to customize Salesforce and where to adjust our process. It really is different from the other Salesforce partners we’ve experienced in that they’ve brought expertise, flexibility, creativity, competitive pricing, industry insights, and - most importantly - a successful engagement all in one place.
Working with the team at VALiNTRY360 was great! They were able to leverage their knowledge of healthcare and help us customize our Salesforce Health Cloud environment as well as our High Velocity Sales package.
Would definitely recommend them as they were really nice, easy to work with, offered support, and enabled us to get the most out of our Salesforce instance.
Our business is now growing much faster because of what VALiNTRY360 helped us build.
VALiNTRY was great to work with. [They] listened to our ideas and helped to turn them into a functioning product. [They were] available for questions and calls when we needed input.
Thanks to their expertise, knowledge and skills, we now have a new tool that is already saving us time and helping to make us more productive.
Exceptional team, project was completed in record time and it meets all of our needs. I am always confident that... the team will solve any issue that arises. My consultant is wonderful to work with, he is very knowledgeable, and I am grateful that he is able to communicate technical issues in language that is easy for me to understand. In addition he never makes me feel stupid, even when I may be asking stupid questions. The entire team has made what I expected to be an extremely difficulty project seem very easy.
VALINTRY360 went above and beyond to ensure our switch to Salesforce seamless and painless. They tailored Salesforce
to sit our needs and wants and walked us through every step of the process. We could not be happier with the result!
I’m frankly mad I spent so many years on other EMRs. I didn’t know these processes could be so efficient and effective for me!
I love doing my notes in Salesforce. It’s made my job so much easier!
I love doing my notes in Salesforce. It’s made my job so much easier!
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