Revenue · 2 of 7 services
Payer contracting
Fee schedules reviewed and negotiated.
Fee schedules modeled · Applications filed · Renewals tracked
What you receive.
Laboratories sign contracts they have never modeled, then discover the rate three years later in a denial report. Knowing what each agreement pays on the codes you actually bill is the whole of the advantage here.
- A contract inventory: who you are in network with, at what rate, and when it renews
- Your top codes modeled against the Medicare fee schedule and against each contract
- A ranked target list, by the volume you actually send
- Applications and credentialing packets prepared and filed
- Negotiation positions built from your own cost and volume data
- A renewal calendar with a reminder before each evergreen date
What we model
Know the rate before you sign it.
Rate comparison
Each contract against Medicare and against the others.
Volume weighting
Rates weighted by what you actually bill.
Out-of-network exposure
What you are writing off today.
Credentialing status
Gaps that quietly block payment.
Contract language
Timely filing, appeals, termination, escalators.
Renewal dates
Evergreen clauses and the window to act.
The engagement
Inventory, model, then targets and applications.
Contract inventory
Weeks 1 to 2
Rate modeling
Weeks 3 to 4
Targets and applications
Weeks 5 to 8
Negotiation support
As responses arrive
Before you engage
Price: fixed fee for the assessment. Negotiation support quoted by target count.
Lead: a named partner, in your proposal.
How it starts: a 20-minute call, then a written scope and fee before any work begins.
Questions
Can a small laboratory negotiate at all?
Sometimes. Leverage comes from a service the payer network is short of, not from size alone. We tell you when there is no leverage rather than bill you to find out.
How long does credentialing take?
Payer by payer, and the ranges move. We give you current ranges for your targets at the scope call.
Do you sign on our behalf?
No. We prepare, model and advise. You sign.
Cited on this page
- 42 CFR Part 414 Subpart G, clinical laboratory fee schedule (ecfr.gov)
- Medicare Clinical Laboratory Fee Schedule files (cms.gov)
Citations link to the official text. Nothing here replaces the current checklist issued by your accrediting body, and we read that checklist with you rather than in place of you.
Sign a rate you modeled first.
Twenty minutes, then a written scope. Nothing starts until you sign it.