Revenue Modeler
Maximize the net revenue impact of your gross revenue price increases.

Every year the question is asked “What is the net revenue impact from a 1% (...or 2 or 3) increase in prices?” Inevitably the answer is, at best, an educated guess. Conventional wisdom may dictate that reimbursement is primarily fixed in the form of case rates and per diems so a price increase yields only a small increase, if any, to net revenue. However, in reality price increases may yield a bigger impact than estimated due to specific contract carve out provisions, stop-loss clauses, and outlier calculations.

Revenue Modeler allows accurate modeling of price increases at the charge code or department level detail which can then be analyzed utilizing the power of either CPA, Pathways Contract Manager®*, or Cost File reimbursement methodologies. Various pricing scenarios can be tested to maximize net revenue. The changes are calculated at the patient level. Audit reports are generated to view altered and unaltered departments. Revenue Modeler integrates these changes with TRENDSTAR CCA databases.

The process is simple:

• Take an export file from your existing CCA database and download it to Revenue Modeler.
  
  
• Using Revenue Modeler, apply various department specific or charge code specific rate increases and create a new DBI file to be sent back to CCA.
  
  
• Upload the input file to TRENDSTAR and create a new CCA database.
  
  
• Generate new expected payment information using the revised patient data and compare the change to net revenue.