Payor Contracting Services
We have proven experience and expertise in the industry negotiating higher-than-standard rates with commercial payors to yield additional revenue.
![doctor making calculations](https://www.unifiedradiology.com/wp-content/uploads/2020/05/payment-scaled.jpg)
Payor Contracting Services
We provide a suite of services that helps organizations create effective payor strategies, develop more favorable reimbursement rates and contract terms, and enhance their ability to maximize traditional and non-traditional payment arrangements.
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Proven Experience And Expertise In The Industry
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We have demonstrated expertise in negotiating higher-than-standard rates with commercial payors to yield additional revenue. We can also create effective, ongoing education for providers and business staff.
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Multiple Reimbursement Methodologies, Alternative Payment Models, And Non-Traditional Payment Arrangements
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Contracting using a variety of reimbursement methodologies, from fee-for-service to bundles to case rates. We specialize in developing relationships with outside providers or other organizations to effectively partner in alternative payment models and risk-based arrangements. We also have experience building unique programs with TPAs and self-funded employer groups to increase direct referral sources.
Standard Payor Services
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Evaluate Contract Terms & Policies
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Review Reimbursement Status
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Provide Coaching On Negotiations
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Analyze Claims Data
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Market Your Services
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Develop A Strategy
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Create A Plan
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Assess Your Readiness
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Determine The Impact
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Provide Ongoing Coaching
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Conduct A Market Review
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Build Stronger Relationships
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Evaluate current contract language to identify problematic policies and/or terms for one or all contracts in place
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Review current reimbursement status with respect to financial goals/needs, payments/revenue, volume, and market leverage
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Provide coaching on approaches for payor negotiation success
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Identify opportunities for increases through claims analysis and reporting
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Create strategies for promoting specific service lines or procedures with carriers or purchasers
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Develop a payor contracting strategy to align with desired objectives
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Create a plan for maximizing reimbursement opportunities, including alternate payment methodologies such as carve-outs/case rates, risk-based, or purchaser-direct
![icon](/wp-content/uploads/2020/04/fav-icon-300x300.png)
Assess readiness for bundled payments, including potential opportunities for partnering with other local providers
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Provide insight into potential operational impacts of risk-based or bundled arrangements
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Deliver ongoing coaching & education to providers and other staff regarding the benefits, implications, and risk mitigation for non-FFS payment model
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Conduct a market review and identify opportunities to capitalize on unique offerings
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Develop outreach approaches for fostering stronger relationships with carriers and provider networks
GAIN THE INTELLIGENCE YOU NEED TO
improve your payor contracting strategies