You built your healthcare practice or facility based upon the knowledge, expertise and hard work of your professionals and staff.  Sustaining the financial viability of that practice requires access to actionable information that is often not readily available within the confines of your operations.

We believe that operating an effective and profitable healthcare business is based on two foundations.  The clinical and operations expertise of your staff and actionable data that is not readily available within confines of your business.

As leaders in healthcare analytics, with over 150 years combined experience in healthcare contracting, finance, legal and operations, our team delivers financial performance and operational reports that allow healthcare practices—of any size—to spot trends and take action. Our business analytics solutions provide deep visibility into your organization’s operational and financial data in order seamlessly address and resolve challenges threatening your business.

We believe data should be at the core of every strategic decision you make.   This is why Crux Strategies™ built the Crux Overwatch Contracts and Revenue systems.  Crux Overwatch leverages our Aurum™ database, built on over 35 million actual claims from our clients, combined with current CMS reimbursement rates, commercially available transparency data, and deep industry expertise yielding financial metrics for every hospital, ambulatory surgery center, specialty physician’s  practice and post-acute care facility in the U.S. By leveraging these real-time, cloud-based metrics as the foundation for our data-driven roadmap, we offer an unmatched analysis for clients trying to identify financial and operational challenges.

Crux Overwatch then compares these metrics with what your in-network contracts say you are supposed to be paid with what the payors actually  pay you to allow for real time decision making and actions to sustain your practice or facility. 

Contracts Overwatch

Once uploaded into our system, our staff will analyze and review your payor contracts to ensure
every detail is accurate and optimized for review and future actions. When complete, your contracts are
automatically summarized, reported, and seamlessly connected to your financial data within Contracts
Overwatch. The Contracts Overwatch system places all of the relevant information from your contracts
at your disposal for easy access, including contract rates and renewal dates.

Revenue Overwatch

Your financial files uploaded into our system by secure transfer portal and are automatically turned into
powerful insights with Revenue Overwatch.  Our system summarizes and analyzes your data to deliver a
complete view of your financial and contract performance, highlighting the metrics that matter most to
your revenue growth. The data is generated and displayed in  Summary Form, By Facility, Provider,
Payor and contract. The Revenue Overwatch system leverage historical data, combined with
current contract rates, collected rates, and comparable CMS rate data to provide accurate
collection forecast tied to billings and charges. This combined system provides you with accurate, up-
to-date insights at a glance. Our data can be automatically refreshed in sync with your billing and
collections processes to provide real time actionable information.

The Contract Amendment screen allows users to review, analyze and propose amendments to payor
contracts by comparing current payments with fee schedules in order to determine actual realization rates under
existing contracts, funds owed by the payor to the provider where underpayments have occurred, and
calculate potential rate increases. This feature also allows us to generate verified third party reports to support your recovery of underpayments under existing and prior payor contracts.