

The Repricer is the core of the Visium™ suite of software solutions. Our Repricer was built for the express purpose of supporting the Visium™ Contract Compliance and Modeling utilities. Designed from the start to accommodate virtually any business rule that might be encountered in contracts, the Repricer can be integrated into your current claims system to provide the ultimate in efficiency and unique functionality.
The Visium™ Repricer offers unique functionalities, many which are not found in competing products.
High volume capacity
Price thousands of claims per minute per CPU.
Contract Summary
The Contract Summary presents the contract terms in a concise table format. Each
"contract term" is defined by the appropriate codes (revenue codes, DRG's, ICD-9's,
CPT's, etc.), payment levels and payment types (per diem, case rate, per unit, “lesser
of”, etc.). This document leaves no doubt as to the agreed reimbursement for each
business rule.
Process Trail
The Process Trail provides a "plain English" explanation of how the claim was paid
according to the contract terms governing that claim. This is accomplished during the pricing process.
Any business rule that the claim "activates" is recorded and displayed in the Process Trail.
By going on-line (at your option) providers can access any claim for this information.
The Contract Summary and Process trail can be made available to your providers via the web
(at your discretion). Being able to access to these documents means many of your providers
questions are answered without your call center’s involvement.
See more about the Repricer under Contract Modeling.
|