Physician contract management software: the agreement and the file behind it

Updated

Physician contract management software is bought for one reason and judged on another. It is bought because somebody could not answer a question about an employment agreement quickly enough, and it is judged, eighteen months later, on whether the practitioner records it holds are still true. A physician agreement is unusual in the folder: it carries compensation mechanics that change with productivity, it carries covenants that outlive the term, and it depends on a set of licences, registrations and enrolments whose expiry dates are set by other organisations entirely. This page sets out what the category has to hold for a medical group or health system, and the questions that separate a repository from a filing cabinet with a search box.

What a physician agreement carries that a vendor contract does not

Three things. Compensation that is rarely a single figure: a base, a productivity component with a unit and a conversion factor, and often a quality or call element, each of which needs its measurement period recorded or the calculation cannot be reproduced. Covenants that survive termination, restrictive covenants, notice and tail insurance obligations, which means the abstract has to record what continues after the end date as well as what applies during the term. And the practitioner's own credentials, which are the condition on which the whole arrangement is billable.

The credential file is not an attachment

Software that treats licences and enrolments as documents stapled to a contract record has already lost the thing you were buying. What matters is the expiry date as a field the system can sort, alert and report on: state licence, DEA registration, board certification, malpractice cover and each payer enrolment, per practitioner. Initial credentialing under a Medicare Advantage contract requires primary source verification of licensure or certification, disciplinary status and eligibility for payment under Medicare, with a signed and dated attestation from the applicant, and recredentialing follows at least every 3 years (42 CFR 422.204(b)(2)). Those cycles are the system's job to carry, not an administrator's memory.

The four questions that expose a bad fit

Ask any vendor to demonstrate, on their own data and in this order: show me every agreement whose notice date falls in the next ninety days; show me every practitioner with a credential expiring in the next ninety days, and which agreements they are named on; show me the compensation terms of one agreement without opening the PDF; and export everything you hold for us into a file we can read without your product. Whichever of those four is answered with a roadmap rather than a screen is the one that will cost you later.

What it should cost, and why nobody publishes it

This category prices by quote, per user or per contract, and the implementation is routinely a larger number than the first year's licence. That pricing model exists because the vendors sell to health systems through a procurement process, and a published price weakens them in it. Work your own arithmetic before the first call: how many agreements you actually hold, how many practitioners are named across them, and what one full abstracting pass costs in hours at your reading speed. Medcontra publishes one figure, $29 per month for the whole organisation, because a smaller contracting office deserves a number it can plan against.

Questions people ask about physician contract management software

Do we need dedicated software or will the HR system do?

An HR system holds the employment relationship; it rarely holds the agreement's notice mechanics or the payer enrolments that make the practitioner billable. Groups that try to run both from HR usually end up with a spreadsheet alongside it, which is the arrangement the software was meant to replace.

Who should own the practitioner credential records?

The office that owns the agreements, because the two questions are one question. Splitting them between credentialing and contracting means somebody has to reconcile two lists by hand, and nobody does that on a Tuesday when nothing appears to be wrong.

Does the product give advice on physician compensation terms?

No. Medcontra records what your agreement says and computes the dates that follow from it. What a compensation term ought to be worth, and whether a covenant is enforceable in your state, are questions for the organisation and its counsel.

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