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© 2021, nThrive Revenue Systems, LLC. All rights reserved. RO821
2021 VIRTUAL USER FORUMS
PRODUCT STRATEGY AND ROADMAP REVIEW
Contract Management
Zatanya CollinsDirector, Product Management
Copyright and Trademarks Statement. © 2021 nThrive Revenue Systems, LLC a Delaware limited liability company with an address of 200 North Point Center East,
Suite 400, Alpharetta, GA 30022 and its affiliates and subsidiaries (collectively, “nThrive”). All Rights Reserved. The nThrive name, associated trademarks, product
names, and logos are owned by nThrive or related entities and may be registered with the United States Patent and Trademark Office.
Confidentiality and Use Statement. Any information and related materials provided are owned by nThrive (collectively, the “Content”). No part of the Content may be
reproduced, stored, disclosed, or transmitted in any form, or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, without the express
written permission of nThrive. The Content may contain proprietary information, comprising of trade secrets and know-how owned or developed by nThrive. All users
must maintain the confidentiality of all Content at all times.
Information Statement. From time-to-time, the Content may refer to nThrive but may include references to customer statements, data, or statistics that were generated
from the business operations of one of nThrive’s subsidiaries prior to the formation of nThrive. nThrive strives to provide accurate information in the Content, but
assumes no responsibility or liability for any errors or inaccuracies that may appear. nThrive makes no warranty, express or implied, regarding the accuracy, adequacy,
completeness, legality, reliability, or usefulness of any Content provided and specifically disclaims any implied warranties of merchantability or fitness for a particular
purpose. All Content is provided on an “as-is” basis.
Company Statement. For more information, please visit www.nthrive.com.
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2021 Investment Areas
2022 Strategic Initiatives
Other Investment Priorities
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Accuracy & Efficiencies
Continue to be the most accurate in the market and increase efficiency of delivering value:
• Enhancements to Modeling Reports
– Consolidated Views
– Updates to patient list criteria
– Enhanced Reporting
• Government Programs Enhancements
– Arizona Outpatient Medicaid
– New York Work’s Comp
– Florida Professional Medicaid
Self-Service
Deliver new client value, targeted at increasing Client Autonomy
• Self-Service Payor Code Mapping
• Self-Service Repricing
• Medicare Factors (ongoing)
2021 Major Investments
2021 Major Investments
Contract Analyzer
• Payment/Discount Variance Grouping
• 835 Line-Item Payments
• POS Opportunity
• Managed Care KPIs
• Contract Modeling Analyzer
• Managed Care Dashboard
• Govt Programs Line-Item Details
• Ad-hoc Enhancements
Beta Release in March 2021
2nd phase rolled out in 3rd quarter –non write down
Rolled out to all clients in 2022
• Simplified user interface enabling clients to maintain updates to payor code mappings
• Access via Exceptions Worklist or from the direct menu link
• Rolled out to all clients July 2021
Self-Service Payor Mapping
Managed Care KPIs
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Managed Care KPIsIncremental Dollars
How much revenue are you expecting from services and devices on top of your “core” services?
• Implants (Revs 274, 275, 276 and 278)
• High-Cost Drugs (Rev 636)
• Radiology (Revs 32X)Line-Item Level
Claim Level
Indicators• Filter to claims with
these services billed
Counts
• See the number of claims with these services billed
• See the percent of overall volume
Charges
• The charges on the claim associated with these services
• The percent of charges made up by these services
Indicators• Filter to find line
items with these services
Counts
• See the number of line items with these services
Charges
• The line level charges associated with these services
2022 Strategic Initiatives
Pricing Transparency Reporting
WHAT• Create an interface in Contract Management allowing clients to
generate their machine-readable file now required by federal regulation
• New feature functionality allows for client to set needed parameters and generate machine readable report on demand
• Information will be easy to generate, report is always up-to-date based on their current contract agreements
WHY• Strategic initiative to create product differential • Fulfill current business need of clients to stay compliant with new
regulations• Reporting accuracy because results will stay current as contracts
are updated in Contract Management
Q1
Pricing Transparency
Q4
Q3
Q2
Enhanced Product functionality and Increase compliance
TIMELINE
Self-Service: Transaction Mapping
WHAT• Create self-service interface allowing clients to map their own
payments & adjustment transaction codes• Create a new user interface that improves on the current
transaction mapping functionality• Update underlining technology replacing outdated technology
• WHY• Increase client satisfaction by giving client the autonomy to update
their own data• Transitioning to self-service increases client's efficiency by not
having to open a case and wait on nThrive resources to complete• Improved user experience
Q1
Transaction Mapping
Q4
Q3
Q2
Improve Client Efficiency
TIMELINE
Pricing Sensitivity Modeling –Stretch
WHAT• Create a feature in Contract Modeling allowing clients to model
multiple production contracts _ via payor mapping• New feature functionality allows for modeling change to charges for
multiple production profiles at once• Creating user interface that allow clients to do their own charge
increase project
WHY• Strategic initiative to create product differential• Increase client efficiency by creating a user interface design for this
business need; current clients spend weeks completing this project with our current interface
• Clients are currently doing some version of this in modeling
Q1
Pricing Sensitivity
Q4
Q3
Q2
Enhanced Product functionality and Improved Ease of Use
TIMELINE
Contract Modeling Analyzer
Contract Modeling Analyzer (CMA) will sit on top of the Contract Modeling module and provide insight into selected model results.
• Push models into CMA from CM to analyze the results with no overnight wait
• Use pre-built dashboards to quickly review your model results
• Create your own ad-hoc reports and dashboards
• Access line-level detail of your modeled accounts
• Technical Roadmap
– Hyper V and Windows Server
– Data Deletion – Automatic Purge
– Table Editor Extraction
– Production Report Execution and Management
• Pre-Impact Reporting
• Professional Medicaid's
• Self-Service
– Payor Code Mapping – non-MVP
– Update Reprice Management – non -MVP
– Medicare Self-Service provider specific factor updates
• Chromium-base Browsers
• CPE – Medicare OP
• Performance Improvements
– Distributed Modeling – Dynamic Throttling
– Pricing Performance
2022 Other Investment Areas
2022 Contract Analyzer Other Investment Areas
• Benchmarks
• Alerts and table-driven goals
• Payer Code Change Visibility
• Ad-hoc Enhancements
Q A&
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We make revenue cycle managementsimple, efficient, accurate
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