| |
 |
Welcome
to www.PhysicianAdvocates.com |
|
|
|
 |
Payor Baseline |
A Payor Baseline allows your office staff to spot reconcile, at site, and flag EOBs that
fall out of the baseline. Claims can then be worked more diligently to reconcile properly
and re-submit as required. The payor baseline, once developed , sets the foundation for
negotiation and review of new payor contracts, as well as, renewal of existing contracts with regard to their fit in
your current payor mix.
Another benefit of performing a payor baseline is to verify the efficiencies of your back
office. In the event that a payor is reimbursing at the agreed upon rate yet the variance
between billed and collected rates is substantially different This may identify
inefficiencies in the practice and/or assist in establishing proper charges for CPTs based
on your locale.
Performing a payor baseline can be labor intensive and time consuming, based on the number
of contracted payors with the practice. Once a baseline has been performed additional
payor contracts are easily analyzed and adapted to determine your collective, agreed upon,
reimbursements. The outcome of the baseline can also be further utilized to assist in
developing a cost analysis of your practice by physician and CPT. It may also be utilized
to assist in future negotiations and trend analysis to determine market reimbursements
over time.
Back to Services |
|
| |
|