Is your practice getting the reimbursement it deserves?
Many practices think they can only watch as their reimbursement rates
tumble; but with the right information, reimbursement can often be successfully renegotiated.
The Center for Healthcare Reimbursement's Practice Reimbursement
Profile report provides a detailed analysis of the reimbursement in your
practice by code and by carrier.
If the report shows you are losing money, you may want to negotiate
new rates with your carriers. Only you can decide if a new contract
is the appropriate next step; but if that is what you decide, then the Practice
Reimbursement Profile report will arm you with the information needed to
build your business case.
With this information you will not only know how your practice is performing
but you will also know which carriers to address and which codes are out
of line.
Total Revenue loss for the practice
Practice revenue loss by carrier
Patient volume compared to reimbursement loss
Total loss compared to the best-paid practices in your market
Dollar amount of reimbursement loss per code per transaction by carrier
Annual dollar amount of reimbursement loss per code by carrier
Carrier reimbursement by code compared to market average for your specialty and market
Summary Carrier Report Card
Detailed Carrier Report Card
Carrier Reimbursement by code compared to Medicare
All information is compared to benchmarks based on what other practices,
in your area and specialty, are paid by their carriers.
How will this help?
Negotiating higher reimbursement is often possible, provided you are armed with the proper information. You may be able to negotiate reimbursement increases if you can demonstrate inequities using the data in your Practice Reimbursement Profile.
Need help negotiating?
If you need help negotiating, it is typically wise to start with relationships that already exist with your practice, such as a CPA, lawyer or practice consultant. However, if you do not have those relationships, or if those people are not experienced in the area of reimbursement, we can help.
The Center for Healthcare Reimbursement works with Dean, Dorton &
Ford, and Louis T. Roth,who offer reimbursement negotiation services for medical practices.
These companies fully understand the intricacies of reimbursement and
work to ensure their clients are reimbursed appropriately. Regardless of
whom you work with, the Center for Healthcare Reimbursement provides
the comprehensive reimbursement analysis needed to fully understand
your practice standing.