Complete Payor Management

Save time on payor management while getting paid more and more often.

What is Complete Payor Management?

Health systems have millions of dollars dedicated to managing their payer relationships – data sets, executive leadership, middle management, contracting teams – yet independent providers are priced out of having access to these resources and best practices. 

Complete Payor Management gives you the same resources health systems have, including full-service Revenue Cycle Management and Payor Portfolio Management. With Complete Payor Management, we become a partner to independent practices, providing complete support to help them manage payor relationships and increase reimbursements 

Why Do You Need Complete Payor Management?

Even large health systems who have departments dedicated to their payor relationships and revenue cycle have trouble ensuring their teams aren’t siloed. This causes mistakes, a lack of communication, and limits their ability to succeed.  
 
Making sure your credentialing, contracting, and revenue cycle management are working together in harmony means that you’re not only stopping revenue leakage – but setting yourself up for rapid growth.   

With PayrHealth, you have the resources that are normally reserved for large health systems, and those resources are working together to give you an even greater advantage.  

Our Complete Payor Management Includes:

Payor Portfolio Management

With Payor Portfolio Management, we perform a data-driven review of  your payor relationships, identifying areas of potential improvement based on current marketplace trends in their region.  

From there, our team of experts create a contracting strategy to proactively negotiate or renegotiate payor contracts to help providers get the best rates possible—the type of contracts large healthcare facilities are able to negotiate with their in-house teams of payor portfolio managers.  

We handle all aspects of portfolio maintenance and constantly monitor trends and changes in the industry to help practices stay ahead of the curve. Our proactive approach allows us to watch the markets in all 50 states and help providers everywhere make the most of their contracts. 

Revenue Cycle Management

Complete Payor management includes comprehensive Revenue Cycle Management. Driven by our robust data and world class team, we help independent providers manage billing and claim submission, accounts receivable, credentialing, and out-of-network profiling.  

This gives practices extra time to focus on patient care while our team handles the difficult and tedious tasks of managing billing and claim submission — All while making sure you get the reimbursement you deserve from competitive payor contracts. 

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Payor Portfolio Management Services

Revenue Cycle Management Services

Benefits of Complete Payor Management

Simply put, Complete Payor management with PayrHealth helps increase revenue by decreasing leakage and negotiating for the most competitive payor contracts.

Specifically, Complete Payor management helps by:

·        Obtaining and renegotiating contracts on behalf of the practice to achieve competitive rates

·        Proactively identifying problems and solving them quickly to prevent lost revenue

·        Partnering with practices to provide them the same resources and data that the biggest players have access to

·        Outsourcing accounts receivable and billing to a team of industry experts to free up time for in-office staff members

·        Providing reports on reimbursement rates and claim acceptance rates to drive decision-making and contracting strategy.

We know the leaders of independent providers are being asked to be CFOs as well as MDs, which is why PayrHealth takes on the role to help them focus on taking care of patient


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Who is Eligible for Complete Payor Management?

PayrHealth is uniquely suited to provide help for small to medium independent healthcare providers across the United States. We partner with a diverse group across healthcare industries, from urology to durable medical equipment (DME) providers. 
 
New practices also benefit from Complete Payor management, securing the best contracts from the start without ever having to worry about billing, claim submission, or credentialing. Whether you see 50 or 5000 patients, we can be your partner for payor contracting and revenue cycle management. 

Case Study

$500K Revenue Increase In A Single Year

Bone & Joint Surgery Center of Novi wanted to renegotiate their top three revenue-producing payer contracts, and PayrHealth’s experience brought an increased reimbursement, realizing a double-digit percentage increase to their major contracts.

Our experience with PayrHealth was spectacular! Not only are they affordable for ASC’s, they fully understand insurance contract negotiations while offering a software that allows you to analyze your current contracts.”

About PayrHealth

PayrHealth is an all-in-one payor relationship management solution. We strategically and proactively manage contracts, payor relationships, and revenue cycles to help level the playing field between independent providers and payors.

U.S. Based

Meet with a team that understands your unique needs wherever you are.

Deep Experience

Our team covers and have solved problems in a wide-ranging variety of provider industries.

Small & Medium Size Providers

We look out for those who need our services and expertise the most.

Growth Focused

We’re a growing company, too! We focus on your growth and aim to be a dependable partner for years to come. 

Our Process

When you partner with PayrHealth, you get dedicated industry experts who will create a payor contracting strategy, secure and negotiate contracts on your behalf, and report on our progress through our portal and in regular reporting check-ins. Complete payor management is an ongoing relationship rather than a one-off project, which means we will continue to get to know your unique practice, industry, and market to help both you and us make the best decisions for your practice’s goals.

01

Onboarding will grant us the opportunity to meet your dedicated team and complete our preparation package

02

Strategy consists of jointly identifying customer goals to develop prioritized payer contract targets

03

Payor Coordination sets us up as an extension of your team to navigate the labyrinth of payer representatives

04

Process Reporting strengthens your payer portfolio to yield more patients and higher reimbursements

05

Growth and real-time status updates and bi-weekly meetings track progress and updates our strategy

How To Begin

If you’re interested in Complete Payor management to help drive revenue growth and free up your practice to focus on patient care, the first step is to contact us by giving us a call or contacting us online today. Complete payor management is about creating a relationship that helps independent providers stay independent while leveraging the latest data to increase revenue and secure better contracts. Start the conversation with us today to find out how we can be your long-term partner for sustained, robust growth.

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