Fatorahs goal in executing contracting and pricing activities is to optimize revenue collection, streamline reimbursement procedures, and improve the financial performance of healthcare organizations. Following the key stages
Contract Negotiation
Engaging in negotiations with insurance companies, healthcare providers, and relevant entities to establish and manage contractual terms for reimbursement of medical services.
Fee Schedule Establishment
Collaborating with healthcare providers to determine and set fee schedules, defining prices for diverse medical services and procedures.
Contract Analysis
Thoroughly analyzing existing contracts to ensure compliance, assessing payment terms, and identifying opportunities for improvement or renegotiation
Pricing Strategy Development
Assisting healthcare providers in formulating pricing strategies aligned with industry standards, market requirements, and regulatory guidelines.
Contract Management
Ensuring healthcare providers adhere to contract stipulations, overseeing reimbursements, and addressing any discrepancies or issues that may arise.
Renegotiation and Renewal
Facilitating renegotiations or renewals of contracts with insurance companies or other relevant entities to maintain favorable reimbursement terms.
Coding & Billing Support
Providing comprehensive support in coding and billing processes to ensure accurate documentation and claims submission in accordance with contract terms.