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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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
Physicians are often paid based off payer fee schedules. These fee schedules define how much a doctor will be paid for performing a service. In general, there are typically three types
To ensure adequate coverage of their enrollees, managed care plans frequently reach out to physicians to join their networks. Because so many patients are enrolled in managed care plans, physicians
KEY FEATURES Reimbursement Rate Analysis Benchmark rates for all your CPT® codes, by payer (individual code and in aggregate) to Medicare PFS Locality Rates and to the rates of other