For many healthcare delivery systems, managed care organizations, and payers, the management of complex healthcare reimbursement agreements can be a barrier to providing quality healthcare. Vestica Healthcare can help you make that shift to new fee agreements. We’re built from the ground up to manage non-traditional reimbursement, including bundled payments. With proven processes, experienced teams, and innovative software developed by sister company Wonderbox Technologies, we have the expertise to deliver accurate, streamlined, value-based reimbursement. We offer the right combination of solutions and have the proven performance to make value-based reimbursement a viable strategy for your organization.
Bundled Payment Solution
Our Bundled Payment Solution delivers accurate, timely collections from payers or employer groups and efficient, proper distribution of provider and facility payments. We take the lead on managing bundled payments by wearing multiple hats to effectively coordinate the administration of bundled payments with multiple, diverse entities, including payers, employer groups, providers, healthcare systems and long-term post-acute care facilities, that each have different goals and objectives. Our solution is focused on these key areas:
- Payer or Employer Billing and Collections
- Eligibility case verification
- Compliance with payer billing requirements
- Accurate payer collections
- Third Party Administration
- Non-traditional provider reimbursement methods
- Timely and accurate claim processing and payment to providers
- Administration of warranty and gainshare payments
- Support Services
- Bundle creation
- System integration expertise
- Claim audit support
Our bundled payment specialists have extensive experience with severity adjustments, administration of similar bundles with different elements or pricing, and other highly specialized methodologies. Let us help you implement bundled payment options and take advantage of pay-for-value reimbursement.