Capitation contracts in potential payers - A Case Study


A group practice requested an independent audit of their payer contracts to spot and weed out inefficiencies. They also requested BillingParadise to architect value based contracts and develop a go-forward plan.

The major contract management problems faced by the group

  • High variance between actual and expected yield
  • Inconsistent reimbursement structure
  • Frequent underpayments and revenue leaks
  • Poor visibility and control over their contract processes

Read how we helped the anesthesiology group resolve their contract management hurdles

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