Revenue Optimization

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 copyright networks in which providers are not par with by specific location



 


    • Provide recommendations as to which carriers should be added/removed per office



 

Contact Us

2835 Smith Ave, Suite 201, Baltimore, MD 21209

[email protected]

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