INSURANCE NEGOTIATION

Services Include:

• Verification of accuracy of current fee schedules per provider, per location
• Negotiation with insurance carriers on client’s behalf to secure higher reimbursement levels
• Provide a detailed recommendation illustrating increases per code schedule
• Upon receipt of approved recommendation ensure implementation of effective date
• Monthly report detailing increase revenue per increased schedule delivered to client

UCR FEE ANALYSIS

Services Include:

• Generate & analyze report identifying percentiles of fees based on current claim activity in geographic area of each office and compare to your current office fees

CODING & COMPLIANCE

Services Include forensic review of practice analysis report for revenue generation, accuracy, and compliance and:

• Forensic review of practice analysis report per provider
• Full written report with recommendations
• 30-minute consultation to discuss findings and next steps

NETWORK OPTIMIZATION

Services Include:

• Identify all the networks in which all of your providers in your organization participate with per location
• Identify carrier networks in which providers are not par with by specific location
• Provide recommendations as to which carriers should be added/removed per office