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.

Common Payer Reimbursement Models

Understanding different forms of reimbursement methodologies and their pros and cons can help you better figure out your organization’s revenue cycle management. The two main models we will cover are

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