How to Negotiate Better Payer Contracts: A Strategic Guide for Independent Practices
For years, independent medical practices have faced the same frustrating problem: healthcare payer contracts are one of the biggest drivers of practice revenue, but most practices have very little visibility into whether their reimbursement rates are actually fair. You may know what each payer pays you for your top CPT codes. You might have a…
Read MoreTo Join or Not to Join a Clinically Integrated Network (CIN)? That Is the Question.
Many medical businesses today face a critical decision: should they join a Clinically Integrated Network (CIN)? To answer this, we first need to break down where contracts come from. Medical practices can hold individual contracts with managed care networks and insurance companies. In the current market, there are roughly 900 insurance companies, yet 44% of…
Read MoreHow Medical Billers Can Increase Client Revenue (And Their Own Paychecks)
The Gatekeeper of Revenue As a biller, you play the most critical role for the businesses you support. You are the sole person (or team) responsible for collecting the bulk of the revenue. Since your compensation is often a percentage of earnings, your success is directly tied to theirs. But you are more than just…
Read MoreIs the Hospital System in Your Area Working for You? (Or Are You Working for Them?)
The Independent Provider’s Dilemma As outpatient independent community providers, do you ever wonder if you are really working for the hospitals for free? When we see patients every day, our primary worry is holistic care: Who else does this patient need to see? Do they need a referral to a specialist? Do they need urgent…
Read MoreStrength in Numbers? How Provider Groups Dictate Your Reimbursement
“Power in numbers.” It’s the oldest rule in negotiation, and in healthcare, it is often the only way to survive. But not all groups are created equal, and understanding the mechanics of a provider group is the first step to understanding why your reimbursement rates look the way they do, and why your neighbor’s might…
Read MoreStop Negotiating Blindly: Weaponize Your Data to Win Fair Rates
You didn’t go to medical school to become a contract negotiator, yet that is exactly where many providers find themselves. The cycle is exhausting: renegotiating rates every 1 to 3 years, a process that drags on for months and distracts you from patient care. The real problem isn’t just the time it takes; it’s the…
Read MoreWelcome to Reveon Health
Welcome to Reveon Health: Reimbursement Intelligence for Stronger Contract Negotiations Welcome to Reveon Health. We built Reveon Health for a simple reason: independent medical practices and the businesses that support them deserve better visibility into payer reimbursement. For too long, healthcare contract negotiation has been shaped by an imbalance of information. Payers have had the…
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