DecisionHealth, DecisionHealth - 2011 Issue 9 (September)
4 signs that you should renegotiate with private payers for higher rates
Your providers could be losing money with every service due to outdated or unfavorable private payer contracts. You must conduct a thorough analysis of your practice and come up with tangible reasons to ask payers for a higher rate, experts say.
Negotiating and renegotiating payer contracts can be a complex and extensive task, says Mark Misiunas, a contracting specialist who runs Managed Healthcare Solutions, LLC in Atlanta. The first step is to decide whether your practice has the resources to prepare for and engage in contracting talks with payers, which can last anywhere from 30 days to six months, he says.
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