Pyramid offers a comprehensive Managed Care Contracting Assessment, including a report detailing the underlying reasons for any performance issues that may exist, complete with action plans and recommendations for improvement. Our assessment focuses on the key elements of Managed Care Contract Administration, including current systems, reporting capabilities and interviews with key personnel.

We review current client systems, evaluate contract performance reporting capabilities and interview key departments and personnel in the contracting process. As new regulations, such as HIPAA, come to the forefront, we advise clients on the need for appropriate patient information protection within contracts. We also speak with major hospital managed care payors regarding current relationships, systems and future plans.

Pyramid will provide Managed Care Payment Compliance and Collections with a primary focus on determining the appropriate contracted revenue a hospital should be receiving. After the review, we provide the information that enables a hospital to collect all future payments as provided for in the managed care contracts.