PayerIntel Snapshot- Texas

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PMI has developed exclusive data for Pediatric practices to better understand the negotiated rates between payers and individual practices.  Now you can subscribe to the available data to see how your negotiated rates with payers compare with other practices in your community.  Check out what PMI provides to help you better manage your negotiated rates with payers.

How Do You Stack Up?

Grab your most recent EoB from your billing department and see how you stack up.  If your current rates are below the median value shown above, you might need to consider identifying opportunities to improve your rates.  You can also utilize PMI's PayerIntel subscription to educate yourself on how much payers in your area are paying for the top 30 CPT codes.

Most practices usually postpone data analysis and rate negotiations until contract renewal. However, with access to crucial data from PayerIntel, you should consider renegotiating whenever the data reveals a discrepancy affecting your practice’s financial health.

Providers

 

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Paul Vanchiere, MBA

For over 15 years, Paul has dedicated himself exclusively to addressing the financial management, strategic planning, and succession planning needs of pediatric practices. His background includes working for a physician-owned health network and participating in physician practice acquisitions for Texas's largest not-for-profit hospital network, giving him a distinctive insight into the healthcare sector. Paul is adept at conducting comprehensive financial analysis, physician compensation issues, and managed care contract negotiations. He established the Pediatric Management Institute to offer a wide range of services tailored to pediatric practices of all sizes and stages of development, with a focus on financial and operational challenges. Additionally, Paul is actively involved in advocacy efforts to ensure healthcare access and educational opportunities for children with special needs.

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