Health Plan Contracting and Management...
Contract Portfolio
Our Contract Portfolio Helps You Understand Your Contracts and Enhance Revenue
Easily Identify
Outdated Contracts and Opportunities for Updated Terms
Maximize Assessment
By Knowing and Comparing Your Maximum Allowed Payments by Payer
What You Get with the Success-Rx Contract Portfolio
A contract synopsis for your top 15 Commercial and Medicare Advantage payers. Each synopsis includes the following information by payer contract:
- Effective Date
- Payment Terms
- RBRVS Version and Terms
- Additional Terms Related to your Specialty
- Claims Submission Terms
- Contract Term/Termination Clause
- Amendment Clause
- Most Recent Rate Change
A contract management dashboard for each contract, consisting of:
- Your top billed CPT codes
- Number of times each code was billed the previous year
- Amount billed by Provider
- Payment received from Payer
- Maximum allowed payment
Side-by-side comparison of your maximum allowable payment for top billed CPT codes by payer contract. This allows easy identification of any outliers that need to be addressed.
Explanation of Payment review by payer
Ongoing assistance to prioritize and address contracts
Success-Rx has provided contract reviews for over 80 Primary Care and Specialty Practices. Here's what our clients are saying...
Success-Rx has been instrumental in assisting our privately owned surgical practice update a number of contracts at reimbersement rates we may not have been able to achieve on our own. They came in and sorted through the excess paperwork and returned a wonderful orgranized contract file. This portion alone reduced the stress of tackling the task but they are there for so much more assistance going forward. Their assistance has been exceptional.
Brenda Caseday, Clinic Manager
Portland Surgical Specialists
As a small clinic, we don't have staff spcifically dedicated to insurance contracting. As a result, a number of our contracts were paying below current standards. The Success-Rx review and management team members were professional, nonjudgmental, and efficient as they got our contracts organized, helped us understand where we had room for improvement, and guided us through the process of achieving it. I highly recommend this service!