CPM

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

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.

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.

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 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 practices, providing complete support to help them manage payor relationships and increase reimbursements 

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.

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.

Contract Monitoring & Maintenance

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

Portfolio Review

Proactively identifying problems and solving them quickly to prevent lost revenue

Enterprise-Level Data Access

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

Strategic Team Extension

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

Real-Time Reporting

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

Complete Payor Management 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.

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Onboarding

Onboarding will grant us the opportunity to meet your dedicated team and complete our preparation package
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02

Strategy

Strategy consists of jointly identifying customer goals to develop prioritized payer contract targets
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03

Payor Coordination

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

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

Growth

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

Complete Payor Management Leadership Team

Our leaders in revenue cycle management have over 40 years of experience managing revenue cycles for medical practices. Meet the real people who will help your practice grow with revenue cycle management.

Armando Cardoso

Chief Executive Officer

John Dionisio

Chief Information Officer

Pat Apodaca

Chief Strategy Officer

Emily Barlow, MBA

Vice President of Managed Care Contracting & Strategy

Sarah Metz, MBA

Vice President of Sales

PayrHealth does a tremendous job. Their associates are efficient and easy to work with. I would highly recommend their services."

Dr. Kevin H

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. 

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 practices, providing complete support to help them manage payor relationships and increase reimbursements 

Areas of Expertise

We’ve helped hundreds of practices of all types and industries enhance their ROI with our expertise and capabilities. Our broad experience in all 50 states makes us leaders in serving all these healthcare providers and more:

Hospitals

Rural Health Clinics

Hospital Clinics

Radiology

Anesthesiology

Family Medicine

Internal Medicine

OB/GYN

General Surgery

Orthopedic Surgery

Radiation Oncology

Physical Therapy

Physiatry

Speech Pathology

Otolaryngology

Pediatrics

Neurology

Cardiology

Pain Management

Rural Hospitals

Podiatry

ENT

Emergency Medicine

Plastic Surgery

Dermatology

Pathology

Imaging Centers

Complete Payor Management Resources

Our team is full of thought leaders and industry experts who share what you should know about the changes and best practices of running a financially successful medical practice.

Ready 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.