Payer Contracting
 

Payer Contracting—Our Most Popular Initial Engagement

HBN’s payer contracting service gathers and inventories your contracts and fee schedules into your tailored ContractMaster, FeeCreator, and FeeMaster tools. We analyze them based on your utilization and then meet with you to go over each agreement and schedule. You’ll understand how each compares to your other contracts and industry standards, when your contracts allow you to go to the table to renegotiate, and how to approach your renegotiation strategy.

Payer Contracting Consulting and Contract Maintenance

Let HBN assist in maintaining your agreements, modeling offers and counteroffers including more traditional professional and Ambulatory Surgery Center (ASC) rates as well as cutting edge value based and bundled payment models, creating fair carve-outs for payers that do not pay separately for implants, assessing the impact of and responding to amendments and other notices from payers, determining if all products are appropriate for your organization, and more.

 

Details

Services

Contract Review

Select HBN’s Quick CR or Full CR of new payer agreements with advice on provision changes, additions, and favorable substitute language.

Payer Negotiation and Analysis

Using HBNs tools, you decide if you want to go to the table alone, receive some HBN coaching, or delegate the task to HBN.

Tools

Our inventory tool for old and new contracts provides at-a-glance contract renewal dates, current rates, notice requirements, embedded agreements, and more.
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Convert that file drawer of hardcopy contracts into an electronic file to load into your system. HBN will load your procedure codes into our FeeCreator™ tool with formulas involving numerous years of Medicare RBRVS, percentage multipliers, and RVUs so that you can easily create your own schedules, ready to load to your practice management system.
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Our managed care contracting and chargemaster verification tool will revolutionize your ability to negotiate and monitor charges and see the effects of actual and proposed reimbursement rates.
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