Managed Care Contract Negotiations
Aug 30

Assess the practice market

Before evaluating existing managed care agreements or entering into new ones, be armed and ready with information about your practice. Gather a minimum of 12 months of practice utilization data. Obtain the following information for demographic groups (e.g., age, gender, ZIP code, and if available, race, employer, income, and educational levels):

  • Number of active patients seen in the past two years, by payer mix
  • Office visits/procedures per year
  • Average visits/procedures per active patient/year
  • Average inpatient days per active patient/year
  • Diagnosis frequency by demographic group
  • CPT frequency by demographic group
  • Calculate average cost per visit/procedure
About Reed Tinsley, CPA

As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read more →