BillingParadise offers payer negotiation services to help you get the most out of every claim! Every year physicians will have to review and analyze payer contracts and come up with a plan that works for all. And it's not easy. It means spending hours together poring over data and forming a new payment model. For over a decade we have helped make physicians lives easier!
Give us your insurance details, the payment structure followed in your organization and leave us to wage the negotiation war for you. We make a difference to your payment and collections process, a difference that doesn't dwell on short term benefits but long term profits.
We gather qualitative and quantitative data and user our inbuilt payer contract analysis module to assess your data. We also run fee comparison reports between all your payers. After careful reviewing we focus completely on increasing your payment albeit maintaining a strong and collaborative relationship with the insurers.
Just send us a message in the form below with any questions you may have
BillingParadise has vast experience with all the major payers that can make the difference when negotiating managed care contracts for all healthcare models
The key factors we consider while coming up with a new payment model are bundled and episodic payments, risk-sharing agreements, value-based payments and Acos.
We ensure that the proposal letter we send to the insurer is precise and explains in brief of the revised payment model of your practice. We follow up regularly and understand the chain of command! Initially we negotiate a higher price for the top cpt codes used in your practice.
The higher a payer contributes to your business the more difficult it is to wrangle out a better deal. We understand the way the payer market functions and start negotiating with the payer or insurance plan that contributes less to your practice. This model of working will ensure that you earn more and address the areas in which your practice loses money.
We work 24x7 and understand how excruciatingly long the process is. We stay the course and do not relent till you get the best bargain. If for unavoidable reasons an insurer is unable to accept our request for increasing your allowable amount we still make sure you walk away smiling. How? We set up a payment model where the insurer is asked to reduce their turnaround time or requested to pay more frequently. Thereby increasing, your, payer collections.
We work out a sustainable payment model that works in the long run to create, better and more profitable workdays.
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
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Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Insurer specific collection breakdowns. Know payment TAT of every insurer
Track appointment counts. Customization and integration options. Reduce your no show percentage
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Net Collections by DOS and several other financial KPIs no smart practice can do without!
5 Important denial management metrics that your tool should track. Figure out preventable denials
Areas where group practices can minimize cost. How to manage your financial challenges
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
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Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
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Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
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