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  • Posts tagged "Contract Negotiations"

Posts tagged "Contract Negotiations"

Mastering Payer Contracts in Home Health

November 10, 2025 / admin / Articles, Contract Negotiations, Contracting, Home Health, Home Health Contracting, Home Health Services, Payer Contract, Payer Contract Negotiation, Payer Contracting, Payer Contracts, Payer Negotiations
Home Health Worker, White Female Treating a Male Patient

Payer contracts form the backbone of any home health agency’s financial infrastructure. These agreements determine how you’ll be reimbursed, which services are covered, and ultimately whether your agency can maintain a healthy bottom line while delivering quality care. For agencies working to build reliable revenue streams and operational efficiency, getting these contracts is essential. Let’s […]

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Contract Negotiations, Contracting, Data-Driven Negotiations, Home Health, Home Health Care, Home Health Contracting, Home Health Services, Home Healthcare, Payer Contract, Payer Contract Negotiation, Payer Contracting, Payer Contracts, Payer Negotiations, Strategic Payer Negotiations

Provider Challenges in Payer Contracting

November 4, 2025 / admin / Articles, Contract Analysis, Contract Management, Contract Negotiations, Contracting, Contracting AI, Payer Contract, Payer Contract Analysis, Payer Contract Management, Payer Contracting, Payer Contracts
A Group of Contracted Doctors Standing in Times Square

Healthcare providers face constant battles when negotiating and managing contracts with insurance companies. These obstacles affect every type of practice, from solo physicians to massive hospital networks. The difficulties come from unequal bargaining power, hidden information, endless paperwork, and the overwhelming number of different insurance companies in the market. For most providers, dealing with payer […]

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Contract Analysis, Contract Management, Contract Negotiations, Contracting, Contracting AI, Payer Contract, Payer Contract Analysis, Payer Contract Management, Payer Contracting, Payer Contracts

Tax Status Dictates Contract Structure

October 14, 2025 / admin / Articles, Billing and Contracting, Contract Negotiations, Contracting, Corporation, Partnership, Payer Contract, Payer Contracting, Payer Contracts, Sole Proprietor, Tax Status, Tax Status Shapes Credentialing, Value-Based Care, Value-Based Models
Tax Status Dictates Contract Structure (Doctor Signing)

When healthcare providers set up their practices, one of the first decisions they make is choosing their business entity type. While this might seem like a routine administrative task, that choice carries far more weight than most realize. Your tax status fundamentally shapes every contract you’ll negotiate with insurance companies, how you bill for services, […]

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Billing and Contracting, Contract Negotiations, Contracting, Corporation, Partnership, Payer Contract, Payer Contracting, Payer Contracts, Sole Proprietor, Tax Status, Tax Status Shapes Credentialing, Value Based Care, Value-Based Models

Strategic Payer Negotiations: A Data-Driven Approach

September 11, 2025 / admin / Articles, Contract Negotiations, Data-Driven, Data-Driven Negotiations, Data-Driven Payer Negotiations, Payer Negotiations, Scott Ellsworth, Strategic Payer Negotiations, Value-Based Care, Value-Based Care Models

Healthcare providers today face mounting pressures from multiple directions. Administrative burdens continue to pile up, denial rates are climbing, and reimbursement rates lag behind inflation. Yet many hospitals and health systems approach payer negotiations with the same old playbook, leaving significant money on the table and accepting contract terms that don’t serve their organization’s best […]

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Contract Negotiations, Data-Driven, Data-Driven Negotiations, Data-Driven Payer Negotiations, Payer Negotiations, Scott Ellsworth, Strategic Payer Negotiations, Value Based Care, Value-Based Care Models

The Importance of Negotiating Payer Contracts

April 19, 2024 / admin / Articles, Payer Contract, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, RCM, Revenue Cycle Management, Revenue Cycle Process
Payer Contracting White Female

Healthcare providers, chances are you’re all too familiar with the headaches that come with negotiating contracts with insurance payers. It’s a tedious process that often leaves you feeling like you’re getting the short end of the stick. But here’s the thing – re-negotiating those contracts on a regular basis is absolutely crucial for the financial […]

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Billing, Contract Negotiations, Healthcare, Medical, Medical Billing, Payer Contract Negotiation, Payer Contract Re-Negotiation, Payer Contracting, Payer Contracts, Payer Enrollment, Payer Negotiation, Payer Regulations, RCM, Revenue Cycle, Revenue Cycle Management

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  • Remote Patient Monitoring
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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • 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

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  • White Male Medical Doctor Typing at Machine

    What’s the Difference Between Credentialing and Contracting?

  • LLM or Generative AI Assistant Bot

    Commonly Used Credentialing Prompts for LLMs, Generative AI

  • Female Medical Doctor PECOS User

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