PHASE 01
Onboarding
Purpose:
Lay the groundwork by understanding your healthcare organization’s current state, unique code utilization, and goals—ensuring a tailored contract management solution that aligns with overall business priorities for medical specialties of all types.
Kick-Off Meeting:
- Introductions and project overview
- Gather background details on your medical practice for setup
- Align on priorities and success metrics
Output:
A clear understanding of your organization’s objectives, payer agreements, and operational needs.
PHASE 02
Document Collection
Purpose:
Less chaos. More organization. It all starts with payer document collection. Insurance contracts are overflowing with thousands of billing codes, policies, and terms that make it hard to stay ahead. Aroris360™, our contract management software, simplifies the process, ensuring every contract, claim, and fee schedule is collected, retrieved, and organized—automatically.
Key Steps:
- Upload Your Transaction Reports: We analyze your unique code utilization to understand the care categories and codes that matter to you.
- Upload Your Contracts & Fee Schedules: We use this data to identify payer discrepancies and spot potential revenue gains.
- Missing Documents? We’ll Get Them: If you’re missing any contracts or fee schedules, Aroris will retrieve them from the payer on your behalf.
Output:
A streamlined document collection process that frees you to focus on what matters most—delivering excellent care—while we handle the rest.
PHASE 03
Contract Analysis
Purpose:
Apply in-depth healthcare contract analytics to develop tailored strategies that drive optimal reimbursement rates for your medical practice or health system.
Key Steps:
- Analyze payer contract terms, fee schedules, and structure.
- Establish baseline values for each contract to uncover opportunities, inform negotiation strategies, and track success.
- Create tailored contract negotiation strategies for each payer, leveraging data and your healthcare practice’s unique story.
- Visualize digitized contracts in easy-to-understand graphics and dynamic dashboards.
- Perform market analytics and payer transparency comparisons to uncover opportunities for optimization.
Output:
Revenue audit, insurance reimbursement rate optimization assessment, baseline metrics, and payer-specific strategies.
Phase 04
Contract Negotiation
Purpose:
Optimize healthcare payer contracts for maximum reimbursement through our expert negotiation services. Our negotiation experts use data-driven strategies to secure better terms with health insurance companies.
Key Steps:
- Prioritize contracts based on renewal periods and medical practice goals.
- Execute strategic payer negotiations, focusing on measurable reimbursement rate increases.
- Provide updates throughout the contract negotiation process.
Output:
Improved payer contracts, leading to increased revenue that support your healthcare organization’s goals.
Phase 05
Claims Monitoring
Purpose:
Even after a contract is signed, discrepancies and shortfalls can reduce revenue. Our contract management platform keeps payers accountable by tracking payments against contracted rates. With automated reporting, real-time alerts, and AI-guided payer communications, you’ll know the moment something is off—and have the tools to resolve it to get paid fully and fairly.
Key Steps:
- Continuous Payment Monitoring: Compare actual payments to contracted rates to spot any discrepancies.
- Real-Time Alerts: Receive immediate notifications when claims reflect allowable variances or require attention based on payer response.
- AI-Driven Payer Communications: Automate follow-ups and dispute resolution to expedite payment.
Output:
A streamlined claims process that holds payers accountable and ensures accurate claim processing, giving your practice reduced administrative burden, greater revenue integrity, and peace of mind.
Phase 06
Contract Renewal &
Continuous Optimization
Purpose:
Maintain growth through consistent review and adjustment. Renewals don’t have to catch you off guard—Aroris360 keeps you ahead by tracking upcoming renewals and flagging key payer and CMS updates. With automated renewal reminders, payer outreach, and instant notifications, there are no last-minute surprises—just smarter, proactive decisions.
Key Steps:
- Progress Reviews: Ensure revenue cycle strategies stay on track.
- Strategic Planning: Realign on long-term goals.
- Regular Data Updates: Stay informed with analytics and trends.
Output:
Sustained growth and continuous improvement, backed by proactive renewals management.
