Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Payer Relationships

Rate Negotiations: Get Paid What You Deserve

October 24, 2025 / admin / Articles, Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations
White Male Doctor Challenged by RCM

Here’s an uncomfortable truth. Most healthcare providers are being underpaid by insurance companies. Not because the insurance companies are evil, but because providers accept whatever rates are offered without pushing back. When you first join an insurance network, signing the contract and getting started feels easier than questioning the payment terms. Yet, that decision to […]

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Payer Contract, Payer Contract Management, Payer Contracting, Payer Negotiations, Payer Relations, Payer Relationships, Payer vs Provider, Payment Models, Rate Negotiation Service, Rate Negotiations

Payer Contract Optimization Strategies

September 16, 2025 / admin / Articles, Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models
Payer Contracting Negotiation

Managing payer contracts effectively can make the difference between a thriving practice and one that struggles financially. Healthcare organizations face mounting pressure to maximize revenue while delivering quality care, and optimizing payer contracts sits at the heart of this challenge. Smart contract optimization is about creating sustainable partnerships that benefit both providers and payers while […]

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Healthcare Rate Negotiations, Medical Rate Negotiations, Payer Relationships, Rate Negotiations, Value Based Care, Value-Based, Value-Based Care Adoption, Value-Based Care Integration, Value-Based Models

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • Medical Credentialing Specialist Resume

    How to Write a Medical Credentialing Specialist Resume

  • AI Black Male Medical Doctor Touches Robot Finger

    AI’s Ethical Frontier: Managing Healthcare’s Data Morality

  • FHIR Data Exchange Interoperability

    FHIR® Interoperability: The Hidden RCM Benefit of Real-Time Data Exchange

  • Anthem BCBS Credentialing, Recredentialing, and Contracting

    A Guide to Provider Credentialing with Anthem

  • Colonoscopy CPT Codes with Asian Doctor

    Which CPT Codes are Used in Colonoscopy Billing?

  • White Male Doctor Challenged by RCM

    Rate Negotiations: Get Paid What You Deserve

  • Asthma Treatment CPT Codes

    Which CPT Codes are Used in Asthma Treatment Billing?

  • Male Asian Indian-American Medical Doctor in Need of Credentialing

    The Difference Between Provider and Group Credentialing?

  • White Male Doctor, High Certification

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