Know what the contract says. Know what it delivers.
We connect hospital payer agreements to real claims performance, making complex reimbursement structures easier to evaluate, negotiate, and enforce.
Clarity before negotiation.
Better terms begin with a disciplined understanding of the current agreement: how rates are calculated, how policies affect payments, and where actual reimbursement diverges from contractual expectations.
Contract digitization
Organize reimbursement terms, fee schedules, exceptions, and escalation provisions into an analyzable framework.
Rate analysis
Assess current and proposed methodologies against the hospital's real service mix and payment history.
Policy and edit review
Evaluate how payment policies, edits, carve-outs, and multiple-procedure rules affect adjudication.
Financial modeling
Compare proposed terms and scenarios for predictability and exposure—not just headline increases.
From evidence to stronger terms.
Review
Gather agreements, amendments, rates, and relevant payment data.
Model
Translate current and proposed methodologies into financial scenarios.
Negotiate
Frame priorities around the reimbursement provisions that matter most.
Verify
Monitor whether adjudication follows the new agreement.
Analysis built for decisions.
Start with what the numbers actually show.
Talk with TrueTerm about a payer agreement or upcoming negotiation.