PRICING ANALYTICS

Turn data Into smarter pricing strategies

ElevatePFS Pricing Analytics empowers health systems to design, model, and optimize pricing strategies with clarity and confidence. By translating complex payer contracts and business rules into precise algorithms, the solution delivers a clear, actionable view of how pricing decisions impact financial performance.

Organizations can evaluate pricing across markets, payers, service lines, and departments to make more informed, strategic decisions that maximize price-sensitive net revenue. Continuous monitoring of projected versus actual performance enables teams to validate strategies, quickly identify variances, and make real-time adjustments, keeping pricing aligned with evolving market dynamics and financial goals.

We work all accounts specified by the provider at an agreed-upon frequency. Our team immediately begins identifying reasons for claim denial or rejection and following up to obtain documentation for billing or re-billing. We track Medicaid, Medicare, and commercial health insurance coverage and billing deadlines, and all claims are prioritized according to timely filing deadlines, write-offs, patient transfers, and potential for collecting.

As a value-added service, our proprietary screening software scrubs all accounts with no identified health insurance coverage against commercial and government payer databases to locate coverage that may have been available at the time of service. When coverage is identified, we then bill the appropriate payer or Medicaid program and collect on behalf of the hospital.

The Elevated Difference

1

Advanced analytics translate payer contracts and business rules into structured algorithms, providing a clear and accurate view of how pricing strategies impact financial performance.

2

Flexible modeling capabilities allow organizations to test pricing scenarios across service lines, payers, and markets, supporting informed decisions that optimize pricing structures, maximize net revenue, and maintain operational stability.

3

Our experts help interpret results and guide action, ensuring pricing strategies are data-driven, defensible, and designed to maximize net revenue outcomes.

A Partner You Can Trust
for Unmatched Results.

ElevatePFS® delivers outstanding results. With more than 2,500 client facilities and a 95% client retention rate, we’re a proven partner that you can count on.

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