The CodeToolz Payer Contracting Team

We are continually honing our strategic and technical skills to successfully usher clients through reimbursement strategies and price negotiations.

The primary mission of CodeToolz is to help medical providers increase their revenue. It’s as simple as that. We are committed to making today’s era of reimbursement work for you.

Our ability to understand the issues that are important to both providers and payers affords us insight into the market dynamics impacting provider reimbursement and the technical skills needed to manage and optimize payer revenue streams.

With the current economy, insurance companies are tightening up, so it is very important that you utilize experts who are well versed in payer contracting strategies. We have the tools necessary to provide you with quantifiable results that directly impact your bottom line.

Provider Reimbursements

As a provider of medical services, you have a mission to treat your patients and a need to focus on your medical practice as the business that it is. CodeToolz is here to enable you to maximize revenue with our laser-focus on your payer contracts.

No doubt your primary goal is to deliver the best medical care possible and we are confident you do. A close secondary goal should be to be paid fairly for those quality services you already provide.

Our goal is to become an invaluable part of your practice by focusing on revenue enhancement through your payer contracts while enabling you to keep your focus on your patients.

Our CodeToolz Contract Analyzer

Utilizes a unique proprietary process to review commercial payer contracts for our medical practice clients.

For over 20 years, CodeToolz has successfully analyzed and negotiated payer contracts to generate more profit. Our payer contracting services offer clients both tactical and strategic benefits.

For example, 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.

Payer Contract Revenue

Payer contracting, evaluation and re-negotiations are very critical to every practice, yet there are too many times to count where we’ve encountered physicians who have not renegotiated their payer contracts for years and sometimes never. This simple fact means that practices are missing out on additional revenue that can be substantial and greatly impact your practice.

Insurance companies will never ask if you would like to be paid more, so it is up to you to seek out this information.