As part of your United Rheumatology membership, we can assist you with our payer contracting support service. United Rheumatology’s approach to contracting is strategically focused and customized to your practice and service area. We do not negotiate or interact with your payer(s); rather we review, analyze, and benchmark your data.
At your request, we can perform a confidential review of your practice’s contracts and fee schedules. All contract reviews are “firewalled” from other United Rheumatology members and are conducted in accordance with all applicable laws and regulations.
Strategic Resource Manual
For an independent physician, reviewing contracts and fee schedules can be a daunting task. Our goal is to help you understand the business implications of your contracts and fee schedules. Our service aims to provide you with the information and support needed to analyze your payer data in an easy to read document called a Strategic Resource Manual.
Step 1: Contract Review
The first step of the engagement is a baseline review of your practice’s current payer contracts and fee schedules, including an analysis of your payer mix and the development of a customized Strategic Resource Manual.
These resources will assist you in validating that you are receiving accurate reimbursement for your services, identify which payers play a key role for your business and assist you to determine if your current reimbursement is competitive, not only within your practice but within your marketplace.
Step 2: Suggestions
Based on the analysis and review of your data, we can provide you strategies to help maximize the data and business. We may suggest actions based on your practice and equip you with the information you will need to execute successfully.
Included in Your Membership
Contracting Support is included as a benefit of United Rheumatology membership, in support of our mission to improve the independent practice of rheumatology.
If you have questions, please contact your Member Solutions Representative, or call 631-656-7199.