About this term.
Contractual Adjustment is the difference between billed charges and the negotiated allowed amount with a payer. Always 100% of the time, not just denials. This concept connects to ASP-RCM's broader healthcare RCM operating discipline through capability pages on autonomous coding, denial prediction, eligibility verification, prior authorization automation, and HCC risk adjustment, plus specialty service pages spanning hospital, FQHC, behavioral health, ABA, physician group, and 19 other specialty verticals.
If your operation works with this concept at scale and you want to discuss how AI and integrated RCM services can improve outcomes, request a free 30-day RCM audit. We will assess your current state and produce a written prioritized recommendations list.