Payers
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Professional Solutions

Reward the providers delivering effective care while creating incentives for other providers to improve their care-delivery processes. Ingenix’s Professional Services staff can help you design and implement a program that is tailored to your needs.

Design Payment Strategies for Using

  • APCs and DRGs for out-of-network claims
  • APCs and DRGs for in-network commercial business
  • Alternative reimbursement methodologies

Products:


Payment System Development
Team with Ingenix Professional Services to build effective reimbursement models based on Prospective Payment to manage your expenditures and streamline your operations. Ingenix has successfully implemented PPS for multiple state Medicaid agencies and commercial payers.
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Prospective Payment Implementation Services
The transition from fee schedule, percent-of-charge or per diem payment arrangements to PPS can be a formidable task. The Ingenix implementation program provides extensive resources and services throughout the entire process.
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