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.
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Negotiating Payer Contracts In The Fast-Paced World Of Practice Management
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
Creating Top-Line Revenue And Containing Costs With Value-Based Care
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.
The Impact Of Successfully Managing Payer Contracting On Medical Practice Financial Performance
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
3 Reasons To Update Your Managed Care Contracts
Payer revenue fuels medical practice operations, which is why practices’ managed care contracts require proper maintenance. We still see clients with stale 5 to 10 year old fee schedules and
A Structured Approach To Payer Contract And Fee Schedule Management
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.
How Confident Are You That You Are Getting Paid Fair Market Value For Your Services?
At CodeToolz, our team utilizes a six-step process to provide support throughout the entire contract review process. From reviewing your contracts, to developing a negotiation strategy, our team of experts
