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eContracts
Industry Solutions
Contract Solution for
Healthcare Industry
- Manual reviews, approvals, and renewals of payor contracts, related obligations, compliance
documents and matters
- No centralized repository for Leases, Service agreements, business-critical payor and physician
agreements, scattered across department file cabinets
- Legal and Compliance Risk visibility during drafting and negotiation of Payor contracts,
Confidentiality Disclosure Agreements (CDAs), Material Transfer Agreements and Licensing
agreements
- Tedious procedure to look up agreement terms and clauses when dealing matters like claims,
disclosures non-compliance or other incidents
- Lack of insights to financial or legal obligations, such as payments, audits and regulatory
reporting
- Tedious task of comparing the performance of vendors with no ability to set up KPI's & KRI’s
- Manage liaising, collaboration & relationship with HMOs, PBMs to improve patient care
Healthcare Challenges
Expected Solution Overview
Improve visibility 360 degree centralized
dashboard view of all contracts along with the
associated risks and revenues
Document management for patients, medical
records, compliance, issues, etc with rule-based
automation
Faster turn around with automated creation of
standard documents like Patient Onboarding
Agreement, NDAs etc.
Automated risk scoring of the contracts based on
incomplete obligations both from payor and
payee ends
Governance while creating a document to ensure
all the regulations are complied and risks are
always on check
Payment variance identification to uncover
underpayments and denials to prevent revenue
leakage
Best in class collaboration in every contract with clear
visibility to overall status of the ongoing, completed,
and upcoming activities and obligations, matters of
any departments
Enforce policies for issues, requests, and claims with
automated workflow routing, schedules and
assignment
Single source of truth for all the patient’s
documents, medical records, and compliance
documents with enhanced search and reporting
capabilities
Primary Contract Types
Hospitals-Physicians
Physician Employment Contracts
Patient Non-disclosure Agreements
Shared Service Contracts & PCP Contracts
Hospital-Insurance Companies
Managed Care Agreements
Participating Provider Agreements
Point-Of-Service Agreements
Hospitals-Vendors
Payer & Provider Contracts
BAA & Fee Scheduling Contracts
Hospice Liaison Agreements
Hospital-Group Purchasing Organizations
Drug Distribution Contracts
Purchase order Agreements
GPO Participation Agreements
Hospital- Facilities & Leases
Value-based Care Agreements
Buy-out Contracts
Build-to-Suite Agreements
Contract Lifecycle Automation
and Operations
• Renewals and Timeline
Management
• Amendments and Change
Requests
• Milestones and Reminders
• Contract Obligation Tracking
• Status Management
• eNegotiations & eSignatures
Contract Administration and
Reporting
• Administration and Executive
Dashboard
• Metadata Management and
Custom Report Builder
• Counterparty Management
• Legal Entity Management
• Alerts and Reminders Settings
• Activity History and Audit
Contract Repository,
Governance, Risk & Compliance
and Workflows
• Centralized Repository
• Governance Areas Hierarchy
• Contract Obligations
Management and Reporting
• Risk assessment and
escalations
• Users and Roles Management
• Contract Labels, Tags, Clauses
eContracts Product Focus Areas
eContracts - Addon for Healthcare Industry
Unmatched Governance while creating any
Contract to mitigate any unforeseen risks and to
comply with government regulations like HIPAA
Dedicated Dashboard to present an overarching
view of the Contracts and Obligations to visualize
the revenue
Automated Contract Compliance reports
generation and sharing on timely basis to all the
concerned people
Dedicated Governance Areas Hierarchy to
manage Contracts specific to Healthcare industry
Templates for contracts like Payor Agreements,
Managed Care, Research and Grant, etc
Dedicated set of Terms and Clauses for the
Contracts related to Healthcare industry
Payment Variance identification and validation in
case of payor contracts
KPIs on operational efficiency and revenue
realization
eContracts Implementation Benefits
Improved visibility to the payor and payee
obligations and detecting hidden revenue
opportunities from a 360 degree centralized
dashboard
Improved document management for contracts,
matters, and insurances with complete control
over the complexity of regulations like HIPAA,
PSQIA, etc
Fast turn around with automated Creation of
standard documents like NDAs, Promissory Note,
etc
Better compliance and security with activity logs,
record management and user access control.
Total governance while creating complex
documents like Payor Contract, Matters
(Litigations, False Claims), and Regulatory
Documents
Subcontractor compliance Flow through terms
visibility contractors, sub-contractors and
stakeholders with multi-party contract support
Best in class collaboration and self-service portals for
internal and external stakeholders including
investors, medical practitioner, and patients
Enforce policies for Matters, Requests, and Contracts
with automated workflow routing, schedules and
assignment
Process Questionnaire
Requirements Analysis
Gap Analysis
Process Review
Artifact Review
System Customization &
Configuration Plan
and Go Live Criteria
Pilot Environment Setup
Setup of Data model
Feature Activation
Configuration of Workflows,
Artifacts, Views etc.
Implementation of Custom
features, if any.
Walkthrough of Pilot
Environment
Feedback Tracking
Updates and Optimization
Staging Acceptance
1. Packaging of Optimized Product
2. Setup of Client side environment
3. Product Installation
4. Installation Checklist
5. Migration of existing content
1. Training to wider audience
2. User Acceptance Testing
3. Administration Training
4. Operational Readiness
1. Onboard target
audience
2. Project sign off
3. Support team
transition
7 Go Live
6 User
Acceptance5 Optimize
3 Config
1 Initiate
4 Feedback
2 Discovery &
Data Model
7
6
5432
Project Kick-Off
Objective Definition
Implementation Plan
Communication Plan
1
1-2 weeks
3-6 weeks
3-4 weeks
1-2 weeks
Rollout and Support
Product, Solutions and Tools
Deployment Options
▪ On the Cloud - Microsoft Azure + Office 365 integration
▪ On Premise- SharePoint 2016 / 2013
▪ Azure Cloud Standalone deployment
▪ On-Premise & Cloud hybrid
Solution Areas
▪ Contract Repository & Lifecycle Management
▪ Contract Process Automation & Workflows
▪ Multi-dept Contract Governance & Policy Management
▪ Legal Authoring, Compliance and Legal work management
▪ Contract Financial Tracking and Analytics
Tools & Integrations
▪ eSignature Integrations
▪ OCR integrations for scanned in documents
▪ Legacy Import & Discovery tool
▪ Outlook and Email Integrations
▪ Word Integration and Author tools
▪ LoB System Integrations (CRM, Financials, ERP etc.)
Services & Engagement
Consulting Workshops
▪ Contract- Metadata, Workflows, Lifecycle, Governance
▪ Legal- Template & Clause Libraries, Efficiency
▪ Business- Self Service Contracts, Obligations, Alerts
▪ IT- Infrastructure, Security, Backup, Integrations
Projects & User Engagement
▪ Legacy Contracts- Discovery & Import procedure
▪ Global & Regional Rollouts
▪ Capacity Planning
▪ UAT, User Training, Webinars
▪ Product Configuration & Solution Implementations
Maintenance and Support Services
▪ Product Maintenance
▪ Support, Defect Escalation
▪ Patch & Hot Fixes Management
Capabilities
We are a software company based in
the northern suburbs of Johns Creek in
Atlanta, United States. We have helped
hundreds of organizations implement
eContracts Software while providing
our expertise on Microsoft
technologies, legal and contract
management business processes.
ABOUT OPTIMUS BT
info@optimusbt.net
www.optimusbt.com
For more related information, please email

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Healthcare and Hospital Contract Management

  • 2. - Manual reviews, approvals, and renewals of payor contracts, related obligations, compliance documents and matters - No centralized repository for Leases, Service agreements, business-critical payor and physician agreements, scattered across department file cabinets - Legal and Compliance Risk visibility during drafting and negotiation of Payor contracts, Confidentiality Disclosure Agreements (CDAs), Material Transfer Agreements and Licensing agreements - Tedious procedure to look up agreement terms and clauses when dealing matters like claims, disclosures non-compliance or other incidents - Lack of insights to financial or legal obligations, such as payments, audits and regulatory reporting - Tedious task of comparing the performance of vendors with no ability to set up KPI's & KRI’s - Manage liaising, collaboration & relationship with HMOs, PBMs to improve patient care Healthcare Challenges
  • 3. Expected Solution Overview Improve visibility 360 degree centralized dashboard view of all contracts along with the associated risks and revenues Document management for patients, medical records, compliance, issues, etc with rule-based automation Faster turn around with automated creation of standard documents like Patient Onboarding Agreement, NDAs etc. Automated risk scoring of the contracts based on incomplete obligations both from payor and payee ends Governance while creating a document to ensure all the regulations are complied and risks are always on check Payment variance identification to uncover underpayments and denials to prevent revenue leakage Best in class collaboration in every contract with clear visibility to overall status of the ongoing, completed, and upcoming activities and obligations, matters of any departments Enforce policies for issues, requests, and claims with automated workflow routing, schedules and assignment Single source of truth for all the patient’s documents, medical records, and compliance documents with enhanced search and reporting capabilities
  • 4. Primary Contract Types Hospitals-Physicians Physician Employment Contracts Patient Non-disclosure Agreements Shared Service Contracts & PCP Contracts Hospital-Insurance Companies Managed Care Agreements Participating Provider Agreements Point-Of-Service Agreements Hospitals-Vendors Payer & Provider Contracts BAA & Fee Scheduling Contracts Hospice Liaison Agreements Hospital-Group Purchasing Organizations Drug Distribution Contracts Purchase order Agreements GPO Participation Agreements Hospital- Facilities & Leases Value-based Care Agreements Buy-out Contracts Build-to-Suite Agreements
  • 5. Contract Lifecycle Automation and Operations • Renewals and Timeline Management • Amendments and Change Requests • Milestones and Reminders • Contract Obligation Tracking • Status Management • eNegotiations & eSignatures Contract Administration and Reporting • Administration and Executive Dashboard • Metadata Management and Custom Report Builder • Counterparty Management • Legal Entity Management • Alerts and Reminders Settings • Activity History and Audit Contract Repository, Governance, Risk & Compliance and Workflows • Centralized Repository • Governance Areas Hierarchy • Contract Obligations Management and Reporting • Risk assessment and escalations • Users and Roles Management • Contract Labels, Tags, Clauses eContracts Product Focus Areas
  • 6. eContracts - Addon for Healthcare Industry Unmatched Governance while creating any Contract to mitigate any unforeseen risks and to comply with government regulations like HIPAA Dedicated Dashboard to present an overarching view of the Contracts and Obligations to visualize the revenue Automated Contract Compliance reports generation and sharing on timely basis to all the concerned people Dedicated Governance Areas Hierarchy to manage Contracts specific to Healthcare industry Templates for contracts like Payor Agreements, Managed Care, Research and Grant, etc Dedicated set of Terms and Clauses for the Contracts related to Healthcare industry Payment Variance identification and validation in case of payor contracts KPIs on operational efficiency and revenue realization
  • 7. eContracts Implementation Benefits Improved visibility to the payor and payee obligations and detecting hidden revenue opportunities from a 360 degree centralized dashboard Improved document management for contracts, matters, and insurances with complete control over the complexity of regulations like HIPAA, PSQIA, etc Fast turn around with automated Creation of standard documents like NDAs, Promissory Note, etc Better compliance and security with activity logs, record management and user access control. Total governance while creating complex documents like Payor Contract, Matters (Litigations, False Claims), and Regulatory Documents Subcontractor compliance Flow through terms visibility contractors, sub-contractors and stakeholders with multi-party contract support Best in class collaboration and self-service portals for internal and external stakeholders including investors, medical practitioner, and patients Enforce policies for Matters, Requests, and Contracts with automated workflow routing, schedules and assignment
  • 8. Process Questionnaire Requirements Analysis Gap Analysis Process Review Artifact Review System Customization & Configuration Plan and Go Live Criteria Pilot Environment Setup Setup of Data model Feature Activation Configuration of Workflows, Artifacts, Views etc. Implementation of Custom features, if any. Walkthrough of Pilot Environment Feedback Tracking Updates and Optimization Staging Acceptance 1. Packaging of Optimized Product 2. Setup of Client side environment 3. Product Installation 4. Installation Checklist 5. Migration of existing content 1. Training to wider audience 2. User Acceptance Testing 3. Administration Training 4. Operational Readiness 1. Onboard target audience 2. Project sign off 3. Support team transition 7 Go Live 6 User Acceptance5 Optimize 3 Config 1 Initiate 4 Feedback 2 Discovery & Data Model 7 6 5432 Project Kick-Off Objective Definition Implementation Plan Communication Plan 1 1-2 weeks 3-6 weeks 3-4 weeks 1-2 weeks Rollout and Support
  • 9. Product, Solutions and Tools Deployment Options ▪ On the Cloud - Microsoft Azure + Office 365 integration ▪ On Premise- SharePoint 2016 / 2013 ▪ Azure Cloud Standalone deployment ▪ On-Premise & Cloud hybrid Solution Areas ▪ Contract Repository & Lifecycle Management ▪ Contract Process Automation & Workflows ▪ Multi-dept Contract Governance & Policy Management ▪ Legal Authoring, Compliance and Legal work management ▪ Contract Financial Tracking and Analytics Tools & Integrations ▪ eSignature Integrations ▪ OCR integrations for scanned in documents ▪ Legacy Import & Discovery tool ▪ Outlook and Email Integrations ▪ Word Integration and Author tools ▪ LoB System Integrations (CRM, Financials, ERP etc.) Services & Engagement Consulting Workshops ▪ Contract- Metadata, Workflows, Lifecycle, Governance ▪ Legal- Template & Clause Libraries, Efficiency ▪ Business- Self Service Contracts, Obligations, Alerts ▪ IT- Infrastructure, Security, Backup, Integrations Projects & User Engagement ▪ Legacy Contracts- Discovery & Import procedure ▪ Global & Regional Rollouts ▪ Capacity Planning ▪ UAT, User Training, Webinars ▪ Product Configuration & Solution Implementations Maintenance and Support Services ▪ Product Maintenance ▪ Support, Defect Escalation ▪ Patch & Hot Fixes Management Capabilities
  • 10. We are a software company based in the northern suburbs of Johns Creek in Atlanta, United States. We have helped hundreds of organizations implement eContracts Software while providing our expertise on Microsoft technologies, legal and contract management business processes. ABOUT OPTIMUS BT