Payer Contracting and Fee Schedules

Optimize Your Practice’s Revenue

We create your Contract Analyzer for you, ensuring you have the essential financial data and tools necessary to properly manage your commercial payer contracts, fee schedules and reimbursements.

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.

All payer contracts and fee schedules are inventoried, cataloged and accompanied with the payer letters needed to make the right decision for your practice.

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. Process Timeline

Your Payer Contracts Renegotiated

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

If you fall into this category, then don’t waste another minute and get your CodeToolz Contract Analyzer.

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. What do you have to lose?

Payer Negotiation Timeline

Physician Revenue and Payer Contracts

Managed care contracting is an integral part of medicine for virtually all health care providers.

Not managing or accepting bad contracts will have a severe negative-impact on physician and group practice revenues.

See your contract rates in a payer line-up (matrix), identify carve-outs, test the adequacy of your charges and more.

Physicians – you will not find a more cost-effective tool to get a handle on your payer contracts and fee schedules.

Your Medical Practice as a Business

You must ensure that your prices and contract payment terms are adequate to cover the cost to provide services and remain profitable.

Managed care dollars represent a significant percentage of a healthcare organization’s revenue.

We are experts at analyzing contracts and fee schedules, securing the most optimal payer fee schedules.

Favorable fee schedule adjustments have an immediate impact on your practice’s bottom line.

Our Mission

Physicians, for the quality medical services you provide – we want you to know who is paying you, what they are paying you and have the tools to act in your best interests.

With Your CodeToolz Contract Analyzer

(1) Inventory, catalog and analyze your payer contracts and fee schedules, extremely easy to use.

(2) Perform what-if analysis based on your fee schedule and/or utilization review, straightforward.

(3) Payer letters and guidelines for success, mission accomplished.

“I belong to an IPA and/or have a billing company”, please read this.

Get Organized and Be Proactive
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 today (877) 464-3005, or schedule a demo and let’s get you started.