How to negotiate commercial payer contracts
A practical negotiation guide for independent medical practices: gather agreements, compare rates, prioritize a request and verify the amended fee schedule.
Read the guideNational Practice Advocacy Group
Payer contract resources for medical practices
Understand the agreement, test the rate comparison and decide what to ask your payer. Practical guidance for independent practices reviewing commercial reimbursement.
Start with your practice’s question
How to evaluate reimbursement benchmarks
Understand NPAG’s national online reference rates, the checks needed for practice-specific benchmarking and why a comparison gap is not a promised increase.
Read the guidePayer contract review checklist for medical practices
Prepare commercial agreements, fee schedules, code volumes and payment-rule questions for a medical practice contract review without sharing patient information.
Read the guideA comparison is not a promised increase
Our online references are national screening figures, not verified local payer offers. A practice-specific review must account for the actual code, product, setting, date and payment rules. Payers may decline a request for higher rates.
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