We recognize that negotiating your own facility and professional contracts with the insurance companies is intimidating, frustrating and time consuming. The different rate structures, coding groups, "carve-outs" and contract language can be overwhelming.
In some cases your contract manager can be juggling several networks or markets. They may not have the opportunity nor the expertise to devote endless resources to your specific contractual needs.
As a result, you could end up with an inadequate contract that doesn't meet your practice costs. Even worse, you can end up with nothing at all if your request is unreasonable.
Communicating your specific needs with each payer as effectively as possible is crucial! You need reliable analytics and examples to support your position. Failure to adequately do so can lead to loss of revenue for your practice and the potential redirection of your patients.
This is a losing situation for both the provider and the payer!
Don't let your valuable time and potential revenue circle the drain while you negotiate against yourself. A competent, reliable consultant can effectively reduce the back and forth that causes delays in the process.
We will work to level set each parties expectations in the beginning, to come to a realistic outcome as quickly as possible.