Payer Contracts and Fee Schedules Blog
We discuss common issues that healthcare professionals encounter in their payer contracts and suggest ways you can improve your contract and fee schedule issues.
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.
The purpose of the CodeToolz Payer Contracts and Fee Schedules blog is to provide physicians with information to help them make sense of the growing complexity of payer contracts and gain leverage when negotiating with payers. We believe in a proactive approach, not a reactive one.
Maintaining relationships with payers and validating contracting performance can often take a back seat to day-to-day practice operations. Most offices have never renegotiated their contracts and very few actually renegotiate
BASICS OF VALUE-BASED CARE The patient reimbursement model plays a crucial role in patient satisfaction, physicians are always trying to improve the patient experience by reducing the cost of service.
Medical practices currently face a number of new challenges to their established reimbursement strategies and revenue cycle management processes. As bundled payments, value-based care contracts, and other risk-based models gain
Payer contracts are a road map of revenue for providers. When contracts are negotiated, the rates provide a map with which a physician, medical group and/or manager can forecast revenue.