Decreasing provider 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.

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.

  • 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

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. Knowledge is power and planning is essential.

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