Our assessment frequently reveals that many practices are unaware of the details and potential of their payor contracts.
This lack of understanding can prevent practices from receiving total compensation and impact their financial health.
A detailed analysis of these contracts can uncover opportunities for increased reimbursement and highlight areas for improvement in contract negotiations.
What You Get
Comprehensive Fee Schedule Report
A detailed report that outlines current fee schedules, compares them with industry benchmarks, and identifies discrepancies and opportunities for increased revenue.
Contract Optimization Recommendations
Based on the analysis, we will make specific recommendations on improving contract terms tailored to your practice's needs and negotiation leverage.
Support in Contract Renegotiation
Assistance in preparing for and conducting negotiations with payors to achieve favorable terms.
What We Do
Detailed Contract Review
This is a comprehensive analysis of existing payor contracts, focusing on fee schedules, reimbursement rates, and payment terms.
Benchmarking Analysis
Comparison of your contract terms against industry standards and regional benchmarks to ascertain competitiveness.
Identification of Underpayments
Detection of discrepancies between contracted rates and actual reimbursements, highlighting areas of revenue leakage.
Negotiation Support
Strategic advice on negotiating contract terms with insurance companies to secure better rates and terms.
Risk Assessment
Evaluation of financial risks associated with current payor contracts and recommendations for mitigation.
Why You Need This
Navigating the complexities of payor contracts and fee schedules is crucial for medical practices to ensure they are compensated fairly for their services.
Misunderstandings or oversights in contract terms can lead to significant revenue losses.
Our Payor Contract Fee Schedule Analysis thoroughly examines your agreements to ensure your practice understands and capitalizes on the compensation structures, helping you optimize revenue from insurance reimbursements.
