Provider Reimbursements

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.

CodeToolz Contract Analyzer (Payer Dashboard)

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.

Payer Contracting Letters

  • 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

Payer Contract Renegotiations

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.