Contract Modeling | EPSi Healthcare Financial Decision Support

Contract Modeling

June 25, 2019 No Comments
August 6, 2019 @ 8:30 am – August 7, 2019 @ 3:00 pm
EPSi Headquarters
16090 Swingley Ridge Road #600 Chesterfield

8:30 a.m. – 4:30 p.m. Tuesday, August 6
8:30 a.m. – 3:00 p.m. Wednesday, August 7
(Note: you must commit to both full days to secure your registration)

EPSi Headquarters
16090 Swingley Ridge Road #600
Chesterfield, Missouri


Course Description

This course covers contract modeling in detail. Attendees will learn how to input government and third party payer contracts, create alternate models, apply what-if assumptions and calculate estimated net revenue. Prerequisites: Introduction to PLA course or equivalent experience.

Register now. Attendees must register one week in advance of the course. Spaces are limited and registrations are completed on a first come, first serve basis. Attendees must be present for the duration of the onsite course. Once we confirm your registration, you will receive a confirmation email with details on hotel accommodations and transportation. As a service to our valued clients, there is no charge to attend this session.

Lunch, sodas, coffee, and snacks included. We have a special corporate rate at a nearby hotel that includes shuttle service to and from the EPSi offices.

Questions? Email us at


Patient Data Review

  • Patient Encounters/Predefined Patient Populations
  • Service Groups
  • Data Manager – Rule Sets
  • List Groups
  • Product Lines
  • Clinical Analysis
  • Payor Plan Codes and Payor Model Groups

Contract Modeling Specific Tables

  • Review of Tables
  • Using Data Studio to Populate Contract Modeling Specific Tables

Contract Model Setup

  • Contract Model Designer
  • General Navigation
  • Contract Modeling Payment Methods
  • Contract Model Calculations
  • Patient Estimated Net Revenue
  • Lump Sum Allocations
  • Contract Model Results and Reconciliation
  • Contract Model What If
  • Deleting Contact Modeling Results


  • Actual vs. Estimated Payment
  • Explanation of Benefits
  • Contract Model Comparison
  • Custom and Ad Hoc Reports