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.
Great news, we will be adding all HCPCS Level II codes to our 2022 Contract Analyzer. Two principal subsystems, referred to as Level I and Level II of the HCPCS.
The fee schedule, sometimes referred to as the charge master, is arguably the single most important financial tool within the medical practice. Although your standard fees are not necessarily the
For many physicians, it’s easy to get caught in the mindset that there’s nothing you can do to increase revenue from payer contracting. However, it is more than possible for
This bill expands restrictions on charging health care plan holders out-of-network rates for certain services. First, the bill requires insurers offering plans that cover emergency services to bill plan holders
Medical practices that leave money “on the table” as a result of billing inefficiencies should correct these inefficiencies and now. One of the most common operational language clauses in payer