The Best Healthcare Contract Lifecycle
Management Solutions in the US

Transform Your Contract Management with VALiNTRY360’s Digital Solutions

Are You Frustrated with Your Healthcare Contract Lifecycle Management?

Are you drowning in a sea of complex healthcare contracts, struggling to keep up with ever-changing regulations and compliance requirements? Does your organization suffer from inefficient contract processes, leading to delays, errors, and revenue leakage? Are you frustrated by the lack of visibility into your contract data, making it difficult to make informed decisions and optimize your operations? Do you find yourself constantly battling compliance risks, unsure if your contracts are fully aligned with the latest healthcare regulations? Is managing diverse vendor relationships becoming increasingly complex, hindering your ability to deliver quality patient care?

If these challenges sound familiar, it’s time to revolutionize your approach to healthcare contract lifecycle management and embrace the power of digital tools in Healthcare Contract Lifecycle Management.

The Power of Digital Tools in Healthcare Contract
Lifecycle Management

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Challenge 1: Poor Patient Engagement

Inefficient contract management slows downs processes, increases wait times, and hinders access to care while adding undue stress on patients and providers alike.

Solution:

Ensure each patient is aware of their financial responsibilities in advance, based on their insurance plan and payer contracts by:

Using real-time contract and reimbursement data to educate them about their copays, deductibles, and coverage limitations
Automatically communicating with them when insurance does not fully cover services.

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Challenge 2: Inefficient Clinical Services

The lack of standardization in payer processes makes it difficult for providers to maintain efficiency throughout the claims process.

Solution: Create a streamlined Healthcare Contract Lifecycle Management system that enables:

Storage and management of all payer contracts, including negotiated reimbursement rates, payment timelines, service coverage rules, and renewal dates
Validation of coverage based on contract terms (e.g., service exclusions, frequency limits) before care is delivered
Custom payment plans aligned with payer contract terms, reducing patient financial stress and improving collections
Predict revenue impact based on contract terms before signing new agreements

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Challenge 3: Claims Denials and Discrepancies

The scale of healthcare contract management is immense, with a complex web of interactions between vendors, service providers, and patients.

Solution: Process claims according to negotiated payer agreements using digital tools that:

Cross-reference payer contracts to ensure accurate coding (CPT, ICD-10, etc.) based on contract terms
Confirm payers’ allowed reimbursement amounts align with contract terms
Flag claims that are underpaid and submit automatic follow-ups or appeals

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Challenge 4: Slow Reimbursement

An average practice must deal with many different payers, each with its own unique policies, processes, and paperwork.

Solution: Ensure that payments matching the terms of contracts are received and any discrepancies are resolved promptly by:

Automating alerts to billing staff when claims are paid at lower-than-contracted rates, enabling faster resolution and reducing revenue leakage
Triggering follow-up actions such as resubmissions, negotiations, or escalation to resolve discrepancies
Generating detailed reports showing the revenue impact of payer contracts, identifying underperforming contracts or frequent underpayments

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Challenge 5: Compliance Risks

Healthcare contracts must adhere to numerous regulations at federal, state, and local levels, making compliance a significant challenge.

Solution: Guarantee that your practice remains compliant with legal and regulatory requirements tied to payer agreements by:

Maintaining detailed audit trails of all contract-related interactions, ensuring compliance with regulations
Facilitating quick responses to payer audits or disputes

Where You Can Find Our Services

How Can VALiNTRY360’s Contract Lifecycle Management Solutions Help Your Practice?

Our Healthcare Contract Lifecycle Management tools streamline the entire contract process for healthcare providers, from initiation to renewal. Here’s how it works:

1. Patient Visit

The patient’s insurance eligibility is checked, and coverage is verified based on the payer contract. The patient is informed about potential out-of-pocket costs.

2. Pre-Authorization

The system ensures that any pre-authorizations required by the payer are aligned with contract terms.

3. Clinical Services

After the visit, clinical services are coded according to contractually agreed rates and service limits.

4. Claims Generation

The claim is generated, ensuring alignment with payer contract rates and rules. Salesforce flags potential issues based on contract terms before submission.

5. Claims Submission & Tracking

Claims are submitted, and the reimbursement is compared to the contract. Any discrepancies trigger follow-up actions.

6. Reimbursement

Payment is received, and Salesforce tracks whether it matches the contracted rate. If not, the underpayment is escalated for resolution.

Why Choose VALiNTRY360 as Your Partner in Healthcare Contract Lifecycle Management

Healthcare Industry Expertise

Deep understanding of the unique challenges in healthcare contract lifecycle management for a wide variety of healthcare organizations, including hospitals, clinics, and payers

HIPAA-Certified Professionals

100+ years of combined experience in Digital Healthcare implementations and industry-specific customizations that scale.

Tailored Solutions

Flexible digital contract lifecycle management implementation approach that accommodates your existing processes and addresses your unique challenges

Proven Track Record

Successful implementations for leading healthcare providers and payers of all sizes across the US

Ongoing Support

Comprehensive managed services including regular performance reviews, system optimizations, and proactive recommendations for continuous improvement

Take the Next Step in Your Digital Transformation Journey

Don’t let contract lifecycle management challenges hinder your healthcare practice’s operations. Partner with VALiNTRY360, the healthcare contract lifecycle management experts, to transform your contract management processes with a world-class CLM system built just for you.

Healthcare Expertise

Proven Track Record

Commitment To Excellence

make us the ideal choice for all your contract lifecycle management needs.

Contact VALiNTRY today to discuss your CLM requirements and discover how our tailored solutions help drive your practice’s success.

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!

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The Best Healthcare Contract Lifecycle
Management Solutions in the US

Are You Frustrated with Your Healthcare Contract Lifecycle Management?

The Power of Digital Tools in Healthcare Contract
Lifecycle Management

Challenge 1: Poor Patient Engagement

Challenge 2: Inefficient Clinical Services

Challenge 3: Claims Denials and Discrepancies

Challenge 4: Slow Reimbursement

Challenge 5: Compliance Risks

Where You Can Find Our Services

Where You Can Find Our Services

How Can VALiNTRY360’s Contract Lifecycle Management Solutions Help Your Practice?