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.
Negotiating More Favorable Commercial Payer Contracts
(1) Focus On Payers That Consistently Pay Below The Medicare Fee Schedule Amount Have some commercial payment rates remained the same over time even despite increases in the Medicare fee
Maximizing Revenue With Payer Contract Management & Analysis
Many providers simply sign a contract and then fail to revisit them for years. This “file and forget” approach has profound consequences on payer revenue. Having a process in place
Payer Consolidations And How It Impacts Your Revenue
Given the pace of payer mergers, acquisitions and consolidations, it is likely you have payer contracts that you are allowing discounts to – that you never intended. This is most often
Managed Care Contracts: Assessment, Strategy & Negotiations
When considering contract negotiations, you may have a number of questions: How do I know if my managed care contracts need to be negotiated? If I do need to negotiate,
Payer Contracts & Unilateral Amendments
Many practices sign managed care contracts that, for one reason or another, do not turn out as expected. Naturally, ensuring maximum reimbursement is always at the top of a healthcare
Managed Care Contracts – Key Provisions For Providers
FIRST THING FIRST A contract is an agreement between two or more parties, there is no contract, even one printed in indelible ink, which cannot be changed. Many physicians believe
