Payor Contracting

Effective Strategies & Education
“SMSC was a tremendous help with our payor contracting and negotiation process. They performed a comprehensive contract review of our primary commercial payor contracts and provided a detailed analysis that identified both immediate and longer-term opportunities for revenue enhancement. They shared specific points to use in negotiations that I was able to use successfully in contract renewal discussions with payors.”
Jim Hueber, Colorado Imaging Associates

SMSC provides a suite of services that helps organizations create effective payor strategies, develop more favorable reimbursement rates and contract terms, and enhance their ability to maximize traditional and non-traditional payment arrangements. Examples of our success include:
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Experienced Staff
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Demonstrated expertise in negotiating higher-than-standard rates with commercial payors to yield additional revenue.
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Flexible Service
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Contracting using a variety of reimbursement methodologies from fee-for-service to bundles to case rates.
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Extensive Network
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Developing relationships with outside providers or other organizations to effectively partner in alternative payment models and risk-based arrangements.
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On-Going Support
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Creating effective, ongoing education for providers and business staff.
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Customized Programs
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Building unique programs with TPAs and self-funded employer groups to increase direct referral sources.