Payer Contract Services

Our team consists of credentialing experts to ensure that your practice is enrolled in the providers that best suit your business. We will assess, analyze, and negotiate contracts and fee schedules on your practice’s behalf.

 
  • Our team will develop a tracking matrix of contract terms and renewal dates to stay up to date with payers. We develop and manage credentialing and upload re-attestation documents to CAQH or directly to payers.

  • We identify appropriate payers and initiate Individual or Group Participation Agreements. This includes providing guidance for incentive award options and reviewing participation agreements terms and conditions.

  • We export and analyze your top billed CPT and HCPCS codes. This is transformed into a master fee schedule to comapre each payer’s reimbursement rates by CPT code. We make reommondations to negotiate the contracted reimbursement rates.

  • Based on the fee chedule analysis, we will initiate contact with payers to negotiate fee schedule rates.

Payer Contracting Testimonials

  • “The team approach, varied skill sets and passion for what they do adds to the overall value of MedChi membership.”

    – Members of MedChi, The Maryland Medical Society benefit from our partnership with MRCS

  • “The MRCS team provide me with sustainable solutions to ensure the viability of my practice during the changing reimbursement landscape.”

    – Dr. Ayim Djamson

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