CodeToolz Managed Care Contract Services – Managed Care Contracting Services

Increase Your Payer Reimbursements

Precisely-Timed, Data-Driven Payer Negotiations, Securing the Best Payer Fee Schedules Possible

VBC (Value-Based Care) and FFS (Fee-for-Service) Contracts

The Physician's Advocate in Payer Contracting

Our roots in payer contracting run deep, making CodeToolz one of the most effective payer contracting and reimbursement firms in the country.

Our Payer Contract Review and Rate Negotiation Services include:

Comprehensive contract review.
Contract language analysis to ensure optimal terms for physicians.
Utilization and payment analysis by payer to compare reimbursements.
Working with payers to raise reimbursement rates.
Preparation of competitive fee schedule analysis to support optimal rates.
Market analysis to present comprehensive proposal to payers.
Negotiate participation in additional payer plans in any given market.

Once our team has a clear understanding of what your payer contract contains, we identify strengths, weaknesses, and improvement opportunities and review them with you.

View: Sample Contract Analysis

Decreasing provider reimbursements demand a proactive approach to your payer relationships.

Physician Reimbursement Experts

Organize, analyze and maximize your payer contracts and fee schedules in one simple place.
Determine what various reimbursement rates will do to your bottom line, in aggregate and by CPT® code for all your payers.
Compare your reimbursements on an ongoing basis; test the adequacy of your charges, test payer offers, your counteroffers and much more.

Our Contract Analyzer is designed to track and manage your payer contracts, analyze fee schedules, manage options for payer negotiations and increase the bottom line.

Complete Payer Contract Management

Our Contract Analyzer is designed to track and manage your payer contracts, analyze fee schedules, manage options for payer negotiations and increase the bottom line.

Payer Reimbursement Strategies

While working with healthcare groups across the country, we have seen payers reduce their fee schedules by 5% to 12% due to lack of attention, this is devastating to your practice.

Fortunately, longstanding patterns of poor attention to contracts can be broken by managing, analyzing, renegotiating and monitoring your payer contracts. We believe in a proactive approach, not a reactive one.

Many of our physician clients see average payer reimbursement increases of 10% – 15% (results will vary).

Successfully Negotiating Managed Care Contracts

Ensuring maximum reimbursement is always at the top of a healthcare provider’s mind. But we find too often that many providers are leaving money on the table with inefficient and infrequent payer contract management.

Let the experts at CodeToolz take your contracting efforts from burden to competitive advantage. The bottom line is that in negotiations, knowledge is power and planning is essential.

Successful Payer Negotiations

Let the experts at CodeToolz take your contracting efforts from burden to competitive advantage. The bottom line is that in negotiations, knowledge is power and planning is essential.

CodeToolz Affiliate Program

Never has the call for strategic collaboration been stronger in medical practice management. Success hinges on the practices’ ability to target operational and clinical support that can be turned on and scaled up quickly.

The Benefits of the CodeToolz Affiliate Program

Get your business and services in front of our 26,000 physicians and medical practice members.

Private Label Opportunity

Whether you want to attract new physician clients, keep the ones you have, or increase your client base from your current customers, private labeling our Contract Analyzer allows you to increase the scope of your current offerings.

Developing a new program takes a lot of energy and time. Adding your label to a proven service, will save you a lot of risks, capital and time. This allows you to scale and grow your business much faster than trying to develop the product yourself.

Our Contract Analyzer is re-branded to your company so you can re-sell it as your own product to your end clients. We provide you with re-branded marketing materials to get you started right away. This is right for you if:

Member Resource Center

Welcome to the CodeToolz Member Resource Center (MRC), a repository for professionals working in the Medical Practice Management, Managed Care Contracting and related fields.

The CodeToolz MRC contains valuable tools, resources and content for our members who want to have the tools necessary to meet the challenges of a changing healthcare system.

The CodeToolz MRC includes content from key thought leaders and stakeholders across the healthcare system, including healthcare executives, physicians, practice managers, suppliers, state organizations and other transformative healthcare organizations on topics of concern to our members.

Member Resource Center

Welcome to the CodeToolz Member Resource Center (MRC), a repository for professionals working in the Medical Practice Management, Managed Care Contracting and related fields.

The CodeToolz MRC contains valuable tools, resources and content for our members who want to have the tools necessary to meet the challenges of a changing healthcare system.

Increase Your Payer Reimbursements

Precisely-Timed, Data-Driven Payer Negotiations, Securing the Best Payer Fee Schedules Possible

VBC (Value-Based Care) and FFS (Fee-for-Service) Contracts

The Physician's Advocate in Payer Contracting

Physician Reimbursement Experts

Complete Payer Contract Management

Payer Reimbursement Strategies

Successfully Negotiating Managed Care Contracts

Successful Payer Negotiations

CodeToolz Affiliate Program

The Benefits of the CodeToolz Affiliate Program

Private Label Opportunity

Member Resource Center

Member Resource Center

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