Reprice your medical bill and save thousands. Only $24.99 with TrueCharge AI.
Upload Medical Bill

Contract Strategy & Reimbursement Optimization

Stop Leaving Revenue on the Table. Transform Your Payer Relationships with Pricing Transparency.

THE PROBLEM

Is Your Practice Experiencing Any of
These Challenges?

Let's Talk
Rate Disparity

You suspect you are being paid significantly less than other providers for the same high-volume services (e.g., Cataract Surgery, Comprehensive Exams).

Negotiation Gridlock

You lack the objective data to justify rate increases with dominant, regional payers (e.g., Blue Cross, UnitedHealthcare, Kaiser).

Prioritizing Utilization

Not knowing which payers and billing codes to prioritize in negotiations to achieve the highest financial return.

Stagnant Revenue:

You are seeing higher patient volumes, but revenue growth remains flat .

Our Solution

The Payer Contract Strategy Roadmap Empowered by Pricing Transparency

What We Deliver:

Market Concentration Analysis
Clearly identifies the most critical payers that drive your revenue and patient access.
Utilization & Payer Mix Report
Ensures negotiations target services with the maximum financial impact.
Rate Performance Benchmarking
Provides irrefutable evidence of underpayment to justify rate uplift requests.
Opportunity Prioritization
Directs limited negotiation resources to the payers and codes that yield the largest return.
Actionable Negotiation Strategy
Gives your team a step-by-step guide to execute successful, simultaneous negotiations.

The Financial Impact: See What Data-Driven Strategy Can Do

We eliminate rate compression by prioritizing uplift opportunities with underperforming contracts while safeguarding premium positions within your strongest agreements. This balanced strategy ensures sustainable reimbursement performance across the portfolio.

Client Scenario Improvement Example Financial Impact (Estimated)
Targeting the Lowest Reimbursor Achieving a 15% rate uplift on high-volume exams and major surgeries. $450,000+ in annual revenue uplift from one payer alone.
Aligning Rates Moving rates from below-market to competitive mid-range to drive meaningful revenue improvement. $200,000+ in new facility revenue per year.
Protecting Premium Benchmarks Leveraging the high rates of your top payer to anchor all other negotiations. Prevents erosion and maintains millions in existing revenue.

Ready to Strengthen Your Financial Foundation?

Don't wait for your next contract renewal to react to low offers. Take control of your payer strategy now.

Our Payer Contract Strategy is ideal for:

Primary Care, FQHC, and Community Health Organizations
Specialty and Multispecialty Physician Groups
Emergency Medicine and Anesthesia Practices
Behavioral Health Providers
Ambulatory Surgery Centers
Radiology and Diagnostic Imaging Centers
Integrated Health Systems
Thank you for reaching out! Your message has been successfully submitted. We'll get back to you shortly. We appreciate your interest and look forward to connecting with you.
Oops! Something went wrong while submitting the form.