Payer Contracting Services
Contract benchmarking, negotiation support, and fee schedule oversight so you're paid fairly - not just in-network.
Compared
Fee schedules and negotiation opportunities
Tracked
Contract renewal and notice dates
Ongoing
Payment variance monitoring
Overview
Being in-network is the baseline. Being in-network at the right rate is what actually drives revenue. AspireMedX provides contract benchmarking against market data, negotiation support for new and renewal contracts, and ongoing monitoring to ensure payers honor what they agreed to pay.
Where revenue usually gets stuck
Most practices don't know their payers are underpaying until they look - because underpayments post quietly and move to collections. We monitor payment amounts against contracted rates on an ongoing basis so the gap gets caught within a billing cycle, not a year later.
What we handle
- Fee schedule benchmarking against Medicare and market rates
- Contract terms analysis - exclusions, clean claim definitions, timely payment
- Negotiation support for initial and renewal contracts
- Value-based and risk-based contract review and modeling
- Payment variance monitoring - flagging underpayments against contracted rates
- Contract renewal tracking and proactive renegotiation scheduling
Questions about payer contracting
Can payer contract negotiation guarantee higher reimbursement?
No. Payers control participation and proposed contract terms. Benchmarking and negotiation support identify opportunities, but any rate change depends on the payer's agreement and the executed contract.
What should a payer contract review cover?
A review may compare fee schedules, payment provisions, renewal dates, notice requirements, and operational obligations. Legal interpretation should be reviewed by your healthcare attorney.
Talk to us about payer contracting
info@aspiremedx.com · +1 (716) 242-2898
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