Reimbursement Services

Operate from a position of financial strength.

As a community-based practice, protecting and maximizing your reimbursement is critical so you can focus on delivering extraordinary, patient-centered care.

That's why Navista collaborates with you to provide end-to-end reimbursement support, from managed care contracting to drug formulary analysis. We can even assume full responsibility for your practice's revenue cycle to increase on-time payments and limit errors.

Oncologists discussing reimbursement and financial strategies for their private oncology practice.

Revenue Cycle Management

Managing the revenue cycle of a community oncology practice has become increasingly complex. Lean on our experts to help simplify it.

Our experienced revenue cycle management specialists offer assessments, recommendations and curated best practices that can simplify and optimize your entire revenue cycle, from prior authorization through billing and collections.  And for those that need it, we can take on end-to-end management of your revenue cycle.

The results?

  • On-time payments
  • Increased reimbursement
  • Reduced administrative work
  • More time to focus on patient care

Front-office support

Streamline scheduling, registering and check-in for new and established patients.

Front-office support

Data management

Improve medical coding, charge capture, data entry and medical records management.

Data management

Verifications

Expedite prior authorizations and benefits verifications to help speed up patients’ time to therapy.

Streamlined denial workflows

Increase your clean claim rate, reduce your denials and optimize days in A/R.

Claim processing

Gain support for claims scrubbing, editing, submission and appeals management.

Claim processing

Managed Care Contracting & Operations

At Navista, we believe in the power of community oncology and the high quality of care you deliver to patients.  We understand how important it is to have a strong managed care contracting strategy.

To help you remain competitive in a complex payer landscape, we’ll work collaboratively with you to manage every step of your payer contracting process. Using sophisticated data and analytics, we can:

  • Showcase the value and quality of your patient care
  • Negotiate contracts to help ensure your practice is compensated appropriately
  • Ensure you meet all payer requirements

Credentialing

Gain assistance with the rigorous credentialing processes required by each payer.

Credentialing

Strategic contracting

Receive support with driving data-driven contract negotiations.

Payer relationships

Build and maintain strong payer relationships and negotiations.

Oncologists and practice administrators discussing financial and operational support provided by oncology physician network.

Reporting

Track consistent progress via reports so you maintain full visibility and control.

Reporting

Practice Pharmacoeconomics

Cancer patients now have access to more treatment options than ever before — including chemotherapy and biologics, supportive agents, infusion and oral drug therapies. Yet, the economics of each treatment can vary dramatically, creating complexity for oncology practices to determine the optimal treatment with both clinical and economic considerations in mind.

At Navista, we take an approach to look at all facets of your practice, including GPO contracts, payer contracts and your unique patient population data. With insightful analytics, we work closely with you to guide you to a formulary that’s a win-win for your practice and your patients.

Community-based practice staff using technology to assess economics of cancer treatment plans for patients of private oncology practice.

Explore more services

Reimbursement Services

Operate from a position of financial strength.

Practice Administration & Optimization

Reduce administrative obstacles to accelerate growth.

Financial Stability

Build a strong financial foundation.

Practice Growth

Elevate your practice’s visibility to attract new patients and providers.

Value-Based Care & Clinical Excellence

Deliver high-quality care in every way.

AI-Enabled Technology, Analytics & Insights

Gain meaningful insights and streamline workflows.

Independent for good.

Only with Navista.