Gone are the days when physicians could simply trust that they were being paid fairly and accurately or in accordance with their executed healthcare contract. Healthcare contracts are legal binding documents that need to be reviewed carefully. Many physicians sign contracts without challenging or negotiating payor rates. Contracting with payors is not just a one-time event that can then be pushed out of mind. Healthcare contract management involves performing an annual analysis. For instance, physicians should regularly identify their top 5 payors and ask what their current reimbursement rate is per their healthcare contract, or what the volume is by patient encounters and revenue from the payor.
CMM is a hard negotiator. We have been Negotiating contracts with many out-of-network payors since 2007. CMM will make sure that your reimbursement is maximized and you have the winning contract.