HPA’s revenue cycle group has combined decades of experience in hospital reimbursement with deep knowledge in applied mathematics to build a unique and powerful Pricing Analytics engine.

The model enables us to create a highly customized, automated net revenue calculator for each client we work with, leveraging today's enormous computing power, not to just improve net revenue, but to mathematically optimize it

With a patent-pending rules engine and a database of more than 9500 proprietary “Set ID’s”, we uniquely optimize and manage the relationships between related codes. The client’s payer contracts are modeled with greater granularity client’s chosen business rules are implemented more precisely.  

The key result of these differences is meaningful incremental net revenue, even in cases when another firm has recently done a pricing analysis. Documentation of the basis for every gross charge is produced, serving as an audit trail.

For hospitals using a full-service Revenue Cycle partner, our Pricing Analytics service is highly complementary to your existing process, without disrupting your ongoing revenue cycle activities. Clients have direct access to their pricing model through a secure web interface with direct phone and email support from their assigned Senior Pricing Consultant.

Easy web-based access and the ability to do "what-if" modeling can be used as real-time decision support when negotiating new contracts.

Our team has extensive experience working with a range of hospital clients in 24 states, including:

• Large teaching hospitals

• Community acute care hospitals

• Critical Access hospitals

• Integrated delivery networks

• Outpatient clinics

• Ambulatory surgery and Imaging Centers

• Inner city and rural facilities

In addition to Pricing Analytics, we offer other revenue cycle services, including…

• Charge Capture Analytics

• Charge Description Master Support

• Disproportionate Share Recovery

• Transfer DRG Recovery