Payer Contracting and Fee Schedules

Optimize Your Practice’s Revenue

Physicians

  • Do you know what your fee schedules are for your payers or networks?
  • When is the last time you had an increase to your payer fee schedules?

The typical practice has no idea where they stand.

CodeToolz’s Contract Analyzer calculates the financial impact of any contract fee schedule or proposed payer rate amendment for all your CPT® codes, and payers.

We at CodeToolz, know how important it is to look at the details when it comes to payer contracts, fee schedules and reimbursements.

Without a sound contracting strategy any physician is at the mercy of any payer. Gathering Data

Leveling the Playing Field

There is an imbalance of power in the provider-payer system that makes it very difficult for physicians to deal with insurance companies on a level playing field.

The payer not only knows what you are doing, they know what your peers are doing. Your pockets will never be as deep as the payers but they don’t have to be.

The CodeToolz Contract Analyzer in 3 words; efficient, effective and affordable.

Physician, protect thyself. “Whether You Think You Can, or Think You Can’t … You’re Right.” Henry Ford

Organized and Proactive
Payer Negotiations

There are too many times to count where we’ve encountered physicians who haven’t renegotiated their payer contracts for years and sometimes never.

Payers don’t send out notices asking you to renegotiate your contract because they aren’t paying adequately.

If you have a plan in place, it can work.

You will never get an increase if you never ask, right?

Just a 3 percent increase on total annual collections of $250,000 can put an extra $7,500 in your pocket.

Payer Negotiation Timeline

We Understand

Most providers can probably share war stories over frustrating experiences they’ve had with a payers’ contract negotiations and reimbursements.

Physicians struggle with cash flow, hoping to get paid properly and in a timely manner while payers post multi-billion-dollar profits.

It does not have to be this way. We have heard just about every war story you can think of (knowing there are more to come).

You study and work hard to help patients; we study and work hard to help you.

Contact us at (877) 464-3005, or Schedule a Free Demo and let’s get you started.