Drive Higher Reimbursements with Strategic Provider Contract Negotiation
Achieve optimal reimbursement and secure favorable terms through expert healthcare payer contract negotiations.
Enhance Your Practice’s Financial Approach with Customized Support Solutions
PRG offers experienced guidance to help your practice navigate the complexities of payer contracts. Our team works with you to explore potential opportunities for improved reimbursements, review existing agreements, assist in identifying areas where strategic adjustments may help reduce revenue leakage.
- Insurance Contract Review & Support: PRG assists in evaluating current payer agreements and exploring the potential for more favorable reimbursement terms, to help align towards industry standards.
- Clarifying Complex Terms: We help demystify contract language, making it easier for your team to understand key provisions and financial implications.
- Identifying Revenue Opportunities: Many practices may not be fully aware of the potential financial impact of contract optimization. PRG can assist in uncovering areas where improvements may be possible.
Decades of Experience & Proven Results
Physicians Revenue Group provides healthcare organizations with underutilized services, like
contract negotiations, to ensure that optimal reimbursement and collections are being made for
our clients.
Core Aspects of Our Targeted Management Solutions
We prioritize following customized strategies to optimize healthcare contracts, improve payment accuracy, and drive sustainable revenue growth for providers.
Contract Intelligence Review
Help identify potential revenue leakage within existing agreements, supporting informed and actionable financial performance.
Legal Language Dissection
Clarify complex terms in medical provider contracts to support understanding, reduce confusion, and elevate contract clarity.
Policy Research
Review payer policies and regulatory developments to help inform contracts that align with compliance considerations and support financial planning.
Long-Term Payer Engagement Plan
Foster structured payer relationships through our experts to help support more efficient revenue cycle processes and renewal outcomes
Reimbursement Uplift Strategy
Apply data-informed approaches to help align fee schedules with payer expectations and explore potential opportunities for improved outcomes.
Price Competitiveness Mapping
Explore efforts to negotiate better insurance rates by benchmarking your current rates across local markets.
Compliance & Risk Assessment
Support the alignment of your payor contract strategies with current regulatory requirements to minimize the risk of outdated, noncompliant, or unfavorable terms.
Denial & Underpayment Support
Develop structured processes for addressing denials and underpayments, assisting timely resolutions and identify opportunities to revenue recovery.
Market Positioning Analysis
Assess regional payer trends and compare reimbursement benchmarks to help inform strategic positioning and support more competitive contract discussions.
Enhance Your Revenue with PRG’s Healthcare Payer Contract Negotiation Expertise
At Physicians Revenue Group, we partner with your practice to create tailored healthcare payer management solutions. Through a collaborative approach, we analyze your market position, identify key strengths, and uncover opportunities to optimize reimbursement.
Contract Renegotiations
Potentially improve reimbursement rates and terms by renegotiating outdated or underperforming payer contracts.
New Payor Contracts & Networks
Access favorable agreements with new payers and expand your participation in profitable networks.
Contract Management
Track, analyze, and maintain payer contracts to ensure compliance and maximize financial performance.
Get In Touch
Interested in finding out more about contract negotiations? Contact us today to streamline your contracts and strengthen your financial future.
Frequently Asked Questions
We perform compliance and risk assessments and conduct policy research to ensure all agreements align with current laws and payer requirements, reducing audit exposure.
Our experts analyze contract terms, fee schedules, and payer behavior to implement data-driven strategies that increase reimbursement from insurance and reduce underpayments.
Our comprehensive contract intelligence review uncovers revenue leakage, assesses compliance, and identifies opportunities to enhance your payer mix and cash flow.
We combine transparency, compliance oversight, and strategic insight to manage contracts while freeing up your internal resources.