Contracting Services
Negotiating with insurance companies frustrating, stressful, time-consuming and frequently unproductive. This is because it’s the insurance companies that hold most the cards. However, experience can with the day, and place you into a better negotiating position. Berkeley Associates can advise you, giving you the best information for the contracts you hold and the contracts you think you need.
Our years of negotiation experience with variety providers at our back, we will review your current contracts for opportunities and improvements. And when it’s time for new contracts to be presented, we can highlight the strategic points and advise on the pros and cons of your situation and advise your best path forward.
WE DEMYSTIFY THE CONTRACT AND PROVIDE GUIDANCE IN DECISION MAKING IN THE FACE OF CONTRACT QUESTIONS.
When it comes to appeals and claims issues, the contract can be your best friend or your worst enemy. Contracts should be mutually beneficial, and the first step in reading the contract is to know what you are looking at and what to look for. It’s in the details. We will highlight key points to optimize productivity in your practice.
- Certain clauses for “red flags”: The average reimbursement fee schedule often will not favor you in important codes for your practice
- Termination clauses that favor the payor; : The changing climate of contracts may indicate staying in contracts longer. Also a COLA can cause incremental increases with silent PPO language
- Documentation requirements regarding appeals and claim review
- Fee schedule negotiation: What are your most frequently used codes? What percent of your practice is with the payor? How much time are you willing to give this payor?