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.
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.
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Trusted Experts In
Analyzing & Negotiating
Managed Care Contracts

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

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

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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 Payer Contract Language Analysis

View: Sample Payer Contract Fee Analysis

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

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Commercial insurance physician fee schedule experts

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.

What Can I expect?

Complete Payer Contract Management

  • Analyze your insurance payer contracts and fee schedules
  • Manage your CPT® codes, billed charges and reimbursements
  • Generate alerts for renegotiations based on payer contractual terms
  • Templates to draft and submit notices and proposals to payers

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.

What Can I expect?

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).
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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.

Quick Guide

Successful Payer Negotiations

One Of The Most Effective Payer Contracting And Reimbursement Firms In The Country

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.

Quick Guide

CodeToolz Merchant Services

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.

Benefits of the Merchant Services Program

  • Broaden your audience
  • Target your ideal client
  • Cost effective

Get your business and services in front of our 30,000 physicians and medical practice members.

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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:

  • You want to expand your offerings (and quickly)
  • You want to land more clients
  • You want to enhance your company’s brand
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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.

Learn More

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.

Learn More

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