Four coordinated deliverables designed for medical practice payer negotiations.
Contract Review
Identify language that affects rates and cash flow, explained in plain English with page references for fast decisions.
- Term, renewal, and termination windows
- Language that may reduce rates or enable unilateral changes
- Payment clocks, offsets, edits, and appeal timing
- Exposure to plan expansion, rental networks, and participation scope
Fee Schedule Analysis
Benchmark reimbursement by CPT and locality, compare payers, and set realistic targets for a clear ask.
- Benchmarking against Medicare and internal payer comparisons
- Prioritization, where effort yields the biggest return
- Negotiation rationale a payer will understand
- Clear current versus target rates
Payer Ready Negotiation Kickoff Letter
A firm, respectful letter to open the negotiation, aligned to your specialty and practice.
- Practice aware messaging
- Supporting metrics provided
- Clear target reimbursement rates
Negotiation Playbook and Supporting Materials
Guidance to move from send, to discuss, to agreement, plus supplemental analysis commonly requested by payers.
- Additional analysis to support payer requests
- Step by step process guidance
- Inflation justification