Payer Contract Trends – Improve Your Practice Revenue

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• Payer Contract Trends Improve Your Practice
  Revenue

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Payer Contract Trends Improve Your Practice
Revenue
Payers are much important and they need us more
than we need them.Payer contract negotiations
involve a unnecessary attention and this process
is too much discouraging. Payers can pay off in
large dividends. These are much essential to your
practice. We have listed payer contract trends
which will help you to improve your practice
revenue. Payer contract negotiations involve a
unnecessary attention and this process is too
much discouraging. Payers can pay off in large
dividends. These are much essential to your
practice. We can discuss this in detail do you
have any idea that your fee schedules are for
your largest payer or network? Do you remember
when they last changed? What about how to find
negotiation terms in your contract? Some
practice owners can give answers for these
questions, but others need to work on them to get
the answers. Gather all your Contracts and
Agreements for all payers The first step is
gathering up all your contracts, and you should
start immediately. Expect that this process may
take two months to collect all information. Your
payer contracts/fee schedules fall into several
groups
Medical Billing Services in Oregon
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Payer Contract Trends Improve Your Practice
Revenue

• Commercial (BCBS, Aetna, Cigna, etc.)
• Government (Medicare, Medicaid, Tricare)
• Government Replacement (Medicare Advantage
  Organizations, Medicaid Managed Care
  Organizations)
• Networks (rented by payers, such as Multiplan,
  TPRN)
• Ensure that you have both current and completed
  version of documents. Completed means they have
  been signed by the practice and the payer. Make
  sure you have any addenda and amendments between
  the contracts effective date and the current
  date.
• In case if you fail to find contracts, do not
  worry. Still you can request duplicate copy of
  contract from your payer or network. Each payer,
  however, has its own protocol for requesting fee
  schedules and contracts. You may need to contact
  your payers for request guidelines.
• Figure out your fee schedules for all your codes
• Contracts do not have the fee schedule
  information. Payers arent in the business of
  broadcasting their fee schedules. Payers are
  banking on the tedious nature of the negotiations
  process. Hope that you will accept their terms
  and conditions without any question.

Medical Billing Services in Oregon
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Payer Contract Trends Improve Your Practice
Revenue
Gather all codes that you can use and developing
a excel sheet for all your code information with
modifiers and places of service for each payer
product. Are you looking for a medical billing
company who can do all your credentialing work?
Then you are at right place. Medisys is leading
medical billing services company. About
Medisys We are a group of medical billing experts
who offer comprehensive billing and coding
services to doctors, physicians hospitals. We
provide A to Z billing and coding solutions.
Medisys Data Solutions RCM solutions ensures that
the providers recover every they are entitled
to. Our vision for the providers is You Cure. We
ecure
Medical Billing Services in Oregon