Contract management in QuickRCM
Connect the contract you signed to the payment you received.
Quickintell helps contract managers, revenue integrity analysts, billing teams, and finance leaders organize payer terms, investigate reimbursement differences, and prepare evidence for disputes and renewals.
Organize payer agreements by provider entity and location. Keep the applicable agreement, amendment, rate schedule, and effective window together so payment review starts with the correct contract context.
Prepare supplied rate schedules for validation and import. Review missing amounts, conflicting dates, and incomplete mappings before using a schedule for expected reimbursement. An incomplete schedule remains a data gap.
Compare supported expected reimbursement against allowed and paid amounts. Preserve the source schedule and claim context so reviewers can understand why a variance was flagged.
Investigate differences before opening a dispute. Separate payment errors from patient responsibility, valid contractual adjustments, unmatched remittances, and contract-window problems. Route supported cases to the review queue.
Model proposed rate changes against historical volume and review the assumptions. Use payer scorecards and an organized renewal queue to prepare for negotiations; modeled impact remains a scenario until terms are agreed.
Prepare dispute evidence, route the action for approval, and follow the payer response. Reconcile recovered payments to the original claim and preserve the next action for unresolved cases.
Contract review depends on supplied agreements and schedules, claim history, payment records, and remittance data. During assessment, confirm which EHR, practice management, clearinghouse, and remittance connections apply to your organization, including any file-based intake needed during onboarding.
Payment posting supplies the payment context. AR follow-up and denial management handle the next action when a case belongs in those queues.
A flagged difference is a candidate for investigation. Revenue integrity staff confirm the contract window, schedule, payment context, and adjustments. Finance and legal owners validate disputed interpretations and authorize negotiation positions or disputes. Automated preparation supports these decisions.
Begin with the payer and provider-entity roster, executed agreements, amendments, schedules, and representative paid claims. Validate mappings and review controls in a sample before expanding the investigation queue. Agree data-gap handling, recovery reconciliation, report cadence, and escalation ownership.
Request a quote based on contract and payer count, schedule complexity, payment volume, integrations, historical review period, and required reporting. Define the boundary between software access, implementation, and managed contracting work in your proposal.
Choose software when your team will operate the contract and variance workflow. Explore payer contracting services when you want help performing the agreed inventory, investigation, and preparation work.
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