Tag: Payer contracts
Five ways to break down bureaucracies to get payer contracts
July 25, 2019Guest Commentary
It is important to remember that payers are large companies, with protocols, policies and business practices. As with any large company, there are bureaucracies, and they are necessary to maintain the order and success of these organizations. Therefore, the first tip is to understand that to get contracted you need to identify the right department and right person to send your request to get contracted. This is usually the payer contracting department and payer contracts' manager. Generally,...
Three key items to negotiating successful payer contracts
June 26, 2018Guest Commentary
The purpose of this article is to help you, as a provider, to hone in on three key items to look for in payer contracts that will help you to get profitable contracts in place. The three key areas that we will examine are fee schedule amendments, lesser of billed charges vs. contracted rates; term and termination without cause; and claims' payments.Fee ScheduleFee schedules sometimes are RVU based or based upon a percentage of Medicare or based on a percentage of a payer's proprietary fee schedule....