Audience
Hospitals that want to generate additional net revenue
About Sophical Solutions
We generate the maximum amount of additional net revenues with fewer high prices and more competitive prices. We generate additional net revenues by reducing or eliminating the gap between charges and negotiated rates for contracts with "lesser of" terms. We generate additional net revenues by identifying and recouping underpayments. We develop custom models for each client. We don't force your data into a generic software product. Our custom models are accurate because we read every contract, model all terms, ensure the mapping of plan codes to insurance products is accurate and test the models thoroughly. We actually model every reimbursement that is impacted by price changes resulting in the most accurate predictions in the industry. We provide you with a pricing methodology that is defensible and one that patients can understand and accept. We ensure that the prices make sense and are stepped/leveled appropriately.