The Impact of Managed Care Contracting on Physicians and Medical Practices

Payer Mix Reimbursement Analysis

Compare your payer contracts and reimbursements on an ongoing basis; test payer offers and your counter-offers. Key contractual information is easily available and provides a reference for renegotiating. All contracts are inventoried and cataloged.

Determine what various reimbursement rates will do to your bottom line, in aggregate and by CPT® code. Test the adequacy of your charges, determine A/R and write-off amounts.

Effectively Communicating and Negotiating with Managed Care Organizations

Requesting a Copy of Our Provider Agreement
Requesting Our Complete Fee Schedule
Contract Renegotiation Notice and Contract Renegotiation Appeal
Terminating Our Provider Agreement
Notice to (Name of Payer) Patients

Physician Reimbursements

Decreasing physician reimbursements demand a proactive approach to your payer relationships.

Let the experts at CodeToolz take your payer contracting efforts from burden to competitive advantage – whether renegotiating stale agreements or developing new managed care contracts.

Payer Contract Negotiation Strategies to Increase Physician Revenue

Negotiating or renegotiating a payer contract for your medical practice can be one of the most important steps you can make toward improving the practice’s financial health.

Successful renegotiation of your payer contracts has a usual yield of 10 percent.

The Impact of Managed Care Contracting on Physicians and Medical Practices

Payer Mix Reimbursement Analysis

Effectively Communicating and Negotiating with Managed Care Organizations

Physician Reimbursements

Payer Contract Negotiation Strategies to Increase Physician Revenue

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