What does contract management involve in Epic Resolute PB?

In Epic Resolute PB, contract management primarily involves managing agreements with payers. This includes coordinating the terms and agreements established between the healthcare organization and insurance companies, ensuring compliance with these contracts, and adapting billing practices in line with the negotiated terms.

Effective contract management is essential because it dictates how services are billed, what reimbursements are expected, and how the organization maintains its financial health in relation to payer agreements. Accurate management helps ensure that the terms of contracts are reflected in the billing system, which directly impacts revenue cycle management.

While aspects like documenting patient insurance information, fetching contract details for auditing, and negotiating service prices are related to the broader context of billing and payer interactions, they do not fully encapsulate the core function of contract management, which specifically focuses on the execution and oversight of payer agreements.