- The Negotiation of contracts requires experience, relationships, and knowledge to navigate the system.
- WWS’s expert team of professionals in contract procurement, evaluation, Negotiation, compliance.
- Our Network development team will undertake to maintain strong relationships with payers nearby, regional, and nationwide.
- Contracts are the backbone of medical organizations because they provide access to patients and are the vehicle for your practice income.
On average office, administrators spend 26 plus hours to get closer to credentialing each provider – with a partial success rate.
WHAT DO WE STAND OUT AT ?
Reviewing standard contract language
Reviewing Process termination clauses
Dispute resolution
Evaluate & negotiate reimbursement proposals
Amendments and modification
Consultation & Research Updates
An individual facility spends more than $20,000/year on credentialing and contracting without qualified resources.
CONTRACTING COMPETITIVE EDGE - WWS
- We study your competition with an extensive database of all the most recent fee schedules of payers. and these data help us make sure we provide you with the best possible rates for your procedures, thus solidifying the most efficient reimbursements for your medical practice.
- All contracts are reviewed periodically to get better rates based on the availability of the payer right now.
If it takes six months, that’s $1,189,363 in lost revenue for the facility.
CONTRACT MAINTENANCE PROGRAM
- WWS offers providers an active maintenance programme for contracting, credentialing and privileging needs, relieving your office personnel of this responsibility.
- Assist in the maintenance of commercial and government payer contracts.
- During new contractual periods, review the wording and fee schedule.
- Ad-hoc care assistance for your practice’s contracting requirements.
- Updates or adjustments to reimbursement schedules should be coordinated with your billing business or office management for submission to billing software.
CONTRACTING PHASES
Defining Value proposition
Facilitate sessions for translating strategy of the rate and proposal development to provide support for gaining insight into information and defining approach.
Build Further & Ahead
We bring our providers a list of data points and details applied in our best practices and review to evaluate their rates and expedite a compelling data point for the payers.
Review Contract language
Our network development team will organize to establish the dollar value of tangible and intangible contract clauses of negotiations with the current market trends.
CONTRACTING AND NEGOTIATION PROCESS AT WWS
The key issues dealt with were an in-depth review of existing contracts as well as the identification of present payers.
A thorough comparison of the reimbursement rates offered by various insurance companies.
Contracts are reviewed on a regular basis in light of market conditions.
Providing well-documented and well-organized data in order to negotiate the optimum revenue deal.
A SWOT analysis of the medical practice to determine the most billable specialties.
Placing together a final offer and contacting the payer with it in light of the current market situation.
Creating comprehensive payer contracts that are appropriately stated and leave no room for interpretation.
WWS reviews the business to identify areas for process improvement and target revenue-enhancing opportunities that positively affect the bottom line