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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.

Program components include decision support, planning, integration, testing, training and technical support.


PPS Strategy

Payers require payment strategies that 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

PPS Experience

Ingenix’s professional services team has the experience you need to design and implement your payment system, experience gained by working with the 120 payer organizations that rely on Ingenix solutions.

Reduce Risk

Ingenix’s implementation program provides extensive resources and services throughout the entire process. Both payers and providers alike can benefit from the more appropriate and efficient alignment of risk that results from implementing alternative payment strategies.

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