CASE STUDY

The provider wanted to negotiate reimbursement rates directly with the practice’s commercial payers and sought Tier 1 status, as well. Because of the uniqueness of his practice, he sought to negotiate directly with his payers for higher fee schedule rates.

Picture of a doctor examining the patient arms

5%-18%

reimbursement rate increases

Tier 1

status recognized

Invited

to exclusive commercial payer plans
Picture of a dermatologist examining the skin of her patient

Our services came in several forms

  • Benchmarked all commercial contracts against Medicare rate and determined significance in payer mix
  • Performed breakeven cost analysis of each commercial contract
  • Researched percentile RVUs earned to rank the volume of services against peers; and identified negotiated reimbursement rates of other providers in his specialty that had similar practice size, payer mix, and location
  • Negotiated directly with contracting department of payers

Testimonial

Sabrina Skeldon provided a wide range of services to my dermatology practice. She is extremely knowledgeable in the areas of revenue cycle and denial management. She developed the revenue cycle program for my small practice, using billing audits to identify underpayments and successfully capture revenue. She has trained my billing and coding staff. Her skills extend beyond revenue cycle management. She has successfully negotiated payer contracts for my practice. In an area where small practices do not think they have a seat at the table, she has proved them wrong. She provides outstanding services.

Dr. Andrew Word, Dermatology

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