Reanalyzing Payer Contracts in Today's Healthcare Landscape

In this webinar, PDS will uncover how payer contract data modeling, along with the use of visual analytics, can help practices precisely understand how payers are reimbursing for key procedures – now, and in the future.

In 2021, CMS made significant modifications to RVU calculations and how certain telehealth codes are reimbursed. There are two critical questions regarding these changes that practices need to examine to ensure optimum reimbursement – is CMS reimbursing the practice accurately, and are commercial payers reimbursing services appropriately?

As payer contracts come up for renewal, different payers will likely propose different RVU-based reimbursement methodologies. We'll explore how analytical tools focused on fee schedule modeling, analysis, and payer-to-payer comparison can help practices negotiate contracts and plan for the financial impact on individual departments, specialties, and providers.

Key topics in this webinar include:
• Analyzing payer trends year-to-year
• Calculating Key Payer Performance Metrics
• Utilizing commercial payer benchmarking to ensure fair market value for services
• Determining whether commercial payers are reimbursing accurately
• Modeling proposed fee schedules for impact against current fee schedules

Originally recorded on September 22, 2021.