Maximize Your Payer Reimbursements
Precisely-Timed, Data-Driven Payer Re-Negotiations
Secure the Best Payer Fee Schedules Possible
Our roots in payer contracting run deep, making CodeToolz one of the most effective payer contracting and reimbursement firms in the country.
Analytics allows healthcare providers to understand the true value of their payer contracts. Physicians need the ability to visualize their existing contracts and how commercial payers stack up against each other.
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.
Decreasing provider reimbursements demand a proactive approach to your payer relationships.
To most physicians, the most important part of any contract is the fee schedule. If the fee schedule is unacceptable, the clauses and language contained in the rest of the contract is irrelevant.
A 7% increase (our average) on total annual collections (payer reimbursements) of $500,000 will put an extra $35,000 in your pocket.
Many of our physician clients see average payer reimbursement increases of 10% – 15%, and ROI often exceeds 8X – 10X.
The CodeToolz Contract Analyzer in 3 words; efficient, effective and affordable.
Let the experts at CodeToolz take your contracting efforts from burden to competitive advantage.
Our ability to understand the issues that are important to both providers and payers affords us insight into the market dynamics impacting provider reimbursements and the technical skills needed to manage and optimize payer revenue streams.
Favorable fee schedule adjustments have an immediate impact on the client’s bottom line. Since there are no variable or fixed costs associated with fee adjustments, all improved revenues add to our client’s profit margin.