Managed Care & Contract Negotiations
Managed care contracts can represent a significant portion of your revenue. Contract improvements may potentially produce immediate gains in revenue or improve cash flow. PIMS’ team of MBAs, Attorneys and Compliance Consultants provides the full scope of managed care and provider contracting services. Experienced in physician, ancillary provider, and hospital contracting, our consultants assist in every step of the contracting process. From the review of your current payor agreements and analysis of contract financial performance, to the development of commercial payor contracting strategies, PIMS tailors its services to complement your needs.
PIMS’ Consulting Services include:
- Contract Language Review, Analysis, and Financial Modeling
- Negotiations or Negotiation Support
- Rate Benchmarking
- Provider Fee Schedule Review
- Development of Contracting Strategy
- Payment Compliance Monitoring
- Dispute Resolution and Litigation Support
Our team of professionals has over 30 years of combined experience on both the payor and provider side of contracting. This combined knowledge will produce successful outcomes for your contract negotiations and improve your overall financial results.