Easing a Practice Pain Point: Payer Contracting
Easing a Practice Pain Point: Payer Contracting
Were your insurance payer contracts updated BC (before COVID)? Have your requests for a meeting with your payer representatives gone unanswered? Is it difficult to calculate whether your practice would be better off changing RVU years with the same conversion factor or staying on the current RVU year with an increase in the conversion factor? We can help.
Our Contracting Department can assist you with your payer contract negotiations whether you want the “self-service” or “full-service” model, or something in between.
Self-Service: Our Contract Visualizer software tool allows you to upload a report from your billing system that provides your CPT code utilization data. From there, you can enter different conversion factors and RVU years to determine which combination is best for your practice. The Contract Visualizer tool allows you to know if what the payer is offering is a gain or loss. The Contract Visualizer tool is a subscription-based service that helps you save time and money on a very arduous process.
Full-Service: Need to focus on other projects? Our Contract Specialist will take your CPT code utilization and contract data and will negotiate with the payer on your behalf. Given our ongoing relationship with the payers, we know when you’re being paid below market rate. Our process is very transparent. We will provide you with a spreadsheet of your top payers, their key contract terms (i.e. termination date, payment terms), and percentage of business.
Visit our website to watch a video and schedule an appointment to discuss our Contract Visualizer and Contracting Service.
Contract Visualizer – Health e Practices
–Barbara Tauscher, MHA, FACMPE
