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.
Keep It Simple – Payer Contract Negotiations
You need to have the tools that will illuminate the added value your organization provides to their members. Remember that you are providing a valuable service to their organization and
Don’t Let Your Payer Contracts Auto Renew Yet Another Year!
Payer contracts contain language that affects your practice’s financial well-being. You will end up stuck with outdated contract terms that don’t meet your practice’s current needs. Payer reimbursements are the
Making Payer Analysis A Priority
Accepting payer contracts and fee schedules as the status quo is one of the most common reasons why practices struggle to remain profitable. Physicians run the risk of being reimbursed
The Healthcare Common Procedure Coding System (HCPCS)
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.
How To Set A Standard Fee Schedule For Your Practice
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
You Can Restructure Payer Contracts To Increase Revenue
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