Healthcare providers rely on payer contracts to ensure timely reimbursement and financial stability. Outdated terms, vague language, and misaligned fee schedules can quietly drain your revenue. That’s why regular payer contract assessments are critical.
At AT Contracting Solutions, we take a detailed, data-driven approach to reviewing your existing payer agreements. Our goal is to uncover missed opportunities, correct inefficiencies, and lay the groundwork for stronger, more profitable contracts.
What We Look for During a Contract Assessment
Every payer contract tells a story—one that can reveal gaps in reimbursement, compliance issues, and negotiation leverage. During our assessments, we focus on the core elements that most impact your revenue cycle.
Key areas we evaluate include:
- Reimbursement Rates: We compare your current rates to regional and national benchmarks to determine if they align with market trends.
- Payment Timelines and Denial Rates: Delayed payments and frequent claim denials often point to contract weaknesses or payer noncompliance.
- Term Clarity and Renewal Clauses: We examine contract language for vague or one-sided terms, automatic renewals, or loopholes that can harm your long-term performance.
- Service Coverage and Coding: Ensuring your contracts fully reflect the services you provide and the correct codes used for billing.
- Payer Mix Analysis: A breakdown of which payers contribute most to your revenue—and whether those relationships are supporting or hurting your financial goals.
Each of these elements provides insight into how your contracts function today—and how they can work better tomorrow.
Finding Revenue Opportunities and Strengthening Payer Relationships
The real value of a contract assessment lies in identifying what’s missing. Many healthcare facilities operate with contracts that no longer reflect the care they provide or the true value of their services. That’s where AT Contracting Solutions brings clarity and strategy.
We don’t just point out what’s wrong—we develop practical, step-by-step plans to improve your agreements. This might include:
- Renegotiating outdated reimbursement rates
- Eliminating vague or unfavorable terms
- Expanding contract coverage to include additional services or specialties
- Aligning your agreements with value-based contracting in healthcare
Our team looks at your entire payer strategy—not just one contract at a time. We help ensure your agreements support your clinical goals, billing efficiency, and financial performance.
Supporting the Shift to Value-Based Contracting
Providers must adapt to new reimbursement models as the healthcare industry shifts its focus toward quality-based outcomes. We assess your contract’s position for this change and help you adapt to value-based contracting healthcare frameworks.
This includes:
- Identifying gaps in quality performance measures tied to reimbursement
- Preparing your facility for bundled payments or incentive-based structures
- Building payer relationships that reward improved patient outcomes, not just volume of services
With the right preparation, value-based models can open doors to better payer alignment and more stable revenue streams.
Choose AT Contracting Solutions for Smarter Contract Reviews
Our payer contract assessments go beyond surface-level reviews. We use real data, industry knowledge, and experience to deliver clear recommendations and long-term solutions.
When you partner with AT Contracting Solutions, you gain:
- A full understanding of how each payer relationship affects your revenue
- Strategic insight into where you can renegotiate or restructure
- Expert support tailored to your facility’s goals, specialties, and location
Contact us today to schedule your payer contract assessment and discover new ways to boost revenue and improve your relationships with payers.
