Contract data requirements

For expected payments to be modeled accurately, the contract terms must be entered correctly in Axiom Contract Management. To accomplish this, you need a thorough understanding of the contract language and terms as well as access to electronic fee schedules, and any other data relevant to building a model of the signed contract. For Medicare-based contracts, you need hospital-specific factors provided to the hospital by either the Fiscal Intermediary (FI) or by CMS directly. Often this requires direct contact with the payer representative.

You then need to interpret these terms into Axiom Contract Management, with the understanding that Axiom Contract Management uses specific logic to calculate a claim. This logic is discussed in the rest of this section on building contracts.