Rivet

Payer Performance

Video tutorials for how to use Rivet's contract modeling tool

Modeler

Tutorial Videos

Learn how to map your fee schedules to specific claims or estimates.

Fee Schedule Mapping

Map your insurance products to payers and to eligibility connections

Insurance Product Crosswalk

What is a fee schedule?

Learn how to map a fee schedule by provider or locality

Mapping a fee schedule with a Provider or Locality Rule

Learn how to view and edit fee schedules.

Fee Schedules

Learn how to see edit and adjust fee schedules within Rivet.

Understanding Fee Schedules

What a utilization report is, why it is important, how to build one in Rivet, and how to store it for future reference.

Understanding Utilization Reports

Custom Status in Underpayments

Account Settings

Learn how to jump through the right hoops to get your documents from insurance payers.

Retrieving Contracts and Fee Schedules from Common Insurance Payers

Payers

Pricing Optimization is a tool that lets you compare your chargemaster to your contracted rates.

Utilize Pricing Optimization

You can use the All Rates page or your fee schedule table to quickly look up contracted rates for any procedure code.

Look up rates for any procedure code

Access and navigate the Contract Terms page in Rivet, where you can view all the contracts and their terms.

Understanding Rivet's Contract Terms Page

Contracts

Benchmark is a tool granting you insight into how your payer rates compare with others in your area.

Explore Payer Rates with Rivet Benchmark

Benchmark

How-to guide on using Modeler for Payer Contract Negotiations

Analyze Prospective Reimbursement with Modeler

Analytics

How to find specific underpayments by using filter views to optimize your  workflow

Setting custom filters in Underpayments

Private & Shared views allow you to save your filtered view so that you do not have to select the same filter criteria each time.

Create and Edit Views in Underpayments

How to maximize your efficiency in Underpayments using filters

How to work an entire batch of underpayments

How to work through an individual underpayment

Audit Life after Implementation: Your Training & Calibration Timeline

Diving into Underpayments - An Introduction

Setting up your account setting and Underpayment Tools

Getting Started Checklist: Underpayments

Use bulk actions to change the status, re-assign, record a note, send an email, or export data for multiple line items at once.

Applying bulk actions to line items in the underpayments table

How to send appeal emails + templates (letter and email)

Learn the meaning of specific underpayment statuses to help you better understand the status of a variance.

Understanding Underpayment Statuses

Utilize the statuses to make it easy to pick up where you left off, follow up, and show others which claims you have already worked.

Underpayment statuses - how and why you should use them!

How does Rivet define a payment variance?

What you should know about your payer's appeals process.

Know your Payer’s Appeal Process

Rivet is transition from a line item workflow to a claim level workflow for Payer Performance.

Transitioning to Claim Level Workflow  (Underpayments)

See the changes and details in the Claim Level workflow for Payer Performance.

Understanding the Claim Level Workflow (Underpayments)

Discover the full potential of managing underpayments with Rivet's new Underpayments Projects Dashboard.

Understanding Rivet Projects Dashboard

Underpayments Workflow: Rivet's recommendations

Improvements to our Payer Performance recovered amount calculations

Payer Performance Enhancements

Strategies to help identify false positives and common calibration issues

Rivet has updated how we calculate expected allowed amounts, improving recode detection and recovered amount accuracy for Payer Performance.

Payer Performance Audit: Key Updates

Underpayments

Find answers and get help from Intercom Support and Community Experts

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