Contract & Fee Negotiation Services
Healthcare organizations rely on payer contracts and fee schedules to sustain operations, yet managing and negotiating those agreements can be complex, time-intensive, and challenging to navigate internally.
MedCycle Solutions provides Contract & Fee Negotiation Services to help organizations manage payer relationships, evaluate reimbursement performance, and pursue data-supported contract adjustments. Our team works alongside your organization to strengthen payer contracts, identify underpayments, and support long-term revenue stability.
This service is designed to integrate seamlessly with credentialing, enrollment, billing, and broader revenue cycle workflows.
Contract & Fee Negotiation Services We Offer
Contract / Payer Negotiations & Management
- Apply for Clinic in-network status, to carriers identified by client
- Manage contracting and payer enrollment process
- Contract renewals, management, and renegotiation
- Payer and Facility Applications
- Setup and/or manage platforms such as (but not limited to): I&A, PECOS, NPPES, CAQH
- Provider/Payer Matrix, Contract Tracking
Fee Schedule Negotiations
- Fee schedule review & recommendations
- Pull reports from the practice regarding volume of patients seen, per Payer
- Pull the fee schedules from each Payer
- Pull reports from the practice regarding what is being paid by the Payer/s
- Analyze what the Payer fee schedules show should be reimbursed vs what the practice reports show is being reimbursed
- Look for payment gaps and underpayments
- Contact the Payer/s asking for an increase, based on internal processes and due diligence
Contract & Fee Negotiations
Why It Matters
Successful contract negotiations are the cornerstone of building strong, enduring partnerships. Our seasoned consulting professionals specialize in navigating the complex terrain of contract negotiations, ensuring that your business interests are safeguarded while fostering collaborative relationships with your stakeholders.
With a proven track record of achieving favorable outcomes, we employ a meticulous approach to every negotiation, considering the immediate terms and long-term implications for your organization.
Our commitment to excellence extends to our credentialing service, which ensures that your partners and vendors meet the highest industry standards. Read some of our testimonials and references to see what our clients say about us.
By integrating professional contract negotiations with comprehensive credentialing, we provide a holistic solution that empowers your business to thrive in today’s competitive landscape.
Trust MedCycle Solutions to be your partner in contract negotiations and credentialing, delivering results exceeding your expectations.
Why Choose MedCycle Solutions for Contract & Fee Negotiations
Healthcare-Focused Team
Our team understands payer processes, revenue cycle workflows, and practice operations — allowing us to work efficiently within payer systems and communicate effectively with carriers.
Data-Driven Approach
Negotiations are supported by reimbursement data, payer reporting, and performance metrics to strengthen contract discussions.
Organized Contract Oversight
We help bring structure to payer contracts through tracking tools, documentation, and proactive management to reduce risk and missed opportunities.
Integrated Revenue Cycle Support
Because payer contracts impact billing, collections, and compliance, our services align naturally with the broader MedCycle Solutions service lines.
How Our Contract & Fee Negotiation Services Work
- Assessment & Review
We review current payer contracts, fee schedules, and available reimbursement data. - Analysis & Strategy Development
Our team evaluates payment trends, identifies gaps, and develops a negotiation strategy aligned with your organization’s goals. - Payer Communication & Negotiation
We engage with payers to support renewals, renegotiations, and rate discussions using documented data and established processes. - Ongoing Management & Tracking
Contracts and fee schedules are maintained and monitored to support future negotiations and compliance needs.
FAQs
1. What types of organizations do you support?
We support physician practices, clinics, and healthcare organizations across a wide range of specialties.
2. Do you work with all payers?
We work with commercial payers, Medicare, Medicaid, and other carriers identified by the client, following payer-specific requirements.
3. Can you assist if our contracts are outdated or disorganized?
Yes. We frequently assist organizations in organizing existing contracts, developing tracking tools, and identifying opportunities for renewal or renegotiation.
4. Are fee increases guaranteed?
Payer decisions ultimately rest with the carrier. Our role is to present clear data, documentation, and justification to support rate discussions.
5. Can this service be combined with credentialing and enrollment support?
Yes. Contract and fee negotiation services work in tandem with Provider Credentialing & Payer Enrollment services to provide a streamlined approach.