aCALIBRATE™ “a” represents the ASSESSMENT of your managed care contracts. We inventory, assess, value, and index your managed care contracts to your site-specific Medicare rates by CPT codes with all appropriate modifiers., DRG codes and facilities codes. We eliminate the averages and identify changes used by payers to alter the allowable that make pricing transparency and net patient revenue a "guess" or "estimate" under your managed care contracts. aCALIBRATE™ shows you the price for each code under the active contract for each payer.

mCALIBRATE™ “m” represents the active MODEL of your managed care contracts. We serve as your analyst on your managed care team in contract negotiations with a payer. We load each round of proposed rates and contracts into our payer system and generate a specific CPT code allowable with modifiers that even take mid-levels and anesthesia into consideration. mCALIBRATE™ gives you a payer technology and payer analysts on your team in the negotiation process so you know the allowable for every episode of care for the contract. There are no surprises, estimates, or averages.

iCALIBRATE™ “i” represents the real-time INTEGRITY of managed care contract. Once your contracts have been loaded and analyzed within our payer repricing system, we can identify the current re-priced claims in real-time. Upon receipt of your 835 standard payment files, we compare the allowable from each payer against your contract to determine a match. If allowables match, then the contract integrity is intact, and traditional revenue cycle operations can commence. If there is any variance, then there is a change in the contract that has occurred, or the payer has made an error. All variances are identified and submitted to your payer representative by CPT code. These variances do not go through your traditional revenue cycle claims appeal process. No claim appeal activities occur until the contract integrity match is completed.