Revenue Masters offers a customized program via the RM-API.
The RM-API powers your current technology to supply it with the contract management and modeling functionality and benefits your clients have been asking for. Contracts are modeled by Revenue Masters into the RM software after your providers’ payer contracts and data tables are supplied. The RM-API will then return the daily calculated allowable with “audit notes” as to how it was calculated to the partner software application.
Some of the possible RM-API benefits:
Identify claim level denials and root cause
Identify invisible denials
Identify administrative and technical denials
Net revenue claims forecasting based upon contractual allowables vs bucket or historical forecasting
Historical and open payment variances for payment recovery
Monitor and measure patient responsibility
Analytics for payer contract negotiations
Revenue Masters API Data Flow