Three Months to ROI

Month One

Line drawing of many cubes connected by short sticks to each other to form a model.

Commitment Identification & Data Preparation

It’s all about the essentials

Together, we’ll hit the ground running by concurrently evaluating your data while learning about your commitments. Your data will be handled securely and in compliance with HIPAA. We’ll learn how to interpret your unique claims and provider data, and incorporate how you address your company’s line of business policies, provider contracts, industry standards (NCCI, HCPCS, CPT), state guidelines, the Centers for Medicare and Medicaid Services (CMS) regulations – and more.

You Provide

  • Ongoing data feed
  • Insights into your policies
  • Details on your contracts

We Deliver

  • Introduction to Ida™ workbench
  • AArete best-in-class methodology and market intelligence
  • Initial application configuration based on your data and commitments

Month Two

Many small cubes of various sizes scattered across a stylized background.

Building Models and Edit Configuration

It’s all about building in quality

During this time, the AArete team is leveraging your data with the Payment Intelligence® Ida™ workbench to build in quality and consistency with your business requirements. Using rules-based analytics and artificial intelligence (AI), AArete configures rules and develops unique models to support your needs.

You Provide

  • Any additional clarifications necessary

We Deliver

  • Subject matter experts to manage and monitor the set-up of rules and models
  • Data enrichment
  • Quality assurance testing

Month Three

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Testing and Launch

It’s all about getting it right

Together, we’ll finetune the Payment Intelligence® edits and models, testing each and every individual change. Whether it requires just a few or even dozens of tests, getting it right for you is essential to your success. At the end of this month, you are ready to launch and begin to gain value from your investment.

You Provide

  • Testers for user acceptance
  • Feedback on changes
  • The “go-ahead” to launch

We Deliver

  • Finely-tuned models and edits
  • Ida™ workbench training
  • Reporting and results measurement

Next 90 Days

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Augmenting Models and Capabilities

It’s all about optimizing results

For the next three months following the launch of your initial Payment Intelligence® Ida™ workbench, we’ll continue to add new layers of intelligence with additional models. Ultimately, helping you achieve steady state, identify actionable findings, and maximize the return on your investment.

You Provide

  • Ongoing feedback
  • Decisions for automated acceptance

We Deliver

  • Subject matter expertise
  • Ongoing review of findings
  • Machine learning and additional models
  • Insights into optimization
  • Root cause remediation

How much could you improve the profitability of your health plan?

There are many moving parts that can effect your bottom line. What happens if you tweak your process? Check out this calculator to identify the potential for you.