PMI's PayorIntel
Identify Opportunities To Improve Your Contracts
With PMI's PayorIntel service, you can now be empowered to effectively negotiate with MCO's.
Tired of being underpaid for your hard work? Pediatricians across the country face significant disparities in payment rates compared to other medical specialties.
It has been long suspected that Managed Care Organizations (MCOs) pay less to pediatricians than to other medical specialists for the same procedure codes billed. However, proving this disparity has been challenging until now- analysts from PMI have been able to confirm such instances on multiple occasions thanks to the information now available via PMI's PayorIntel services.
Due to federal legislation, MCOs are now required to publicly disclose their negotiated rates with all healthcare providers in the United States. While this data is technically available, accessing it can be costly and requires experience along with a delicate touch to sort through the information provided by the MCO’s. For example, UnitedHealthcare has chosen to make available over 70,000 files that one would have to combine to leverage the information they have provided. PMI has invested in this valuable data to complement our consulting services and help pediatric practices level the playing field when it comes to contract negotiations.
Get Your Custom PayorIntel Report from PMI Today
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Step 1Contact PMI via the form on this page
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Step 2Practice will receive a brief questionnaire to complete asking which five pediatric and three non-pediatric practices you want to compare your rates to.
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Step 3An analyst at PMI will research the top 50 CPT codes used by Pediatricians (Which account for >90% of a pediatric practice's revenue)
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Step 4Practice selects a convenient time for a Zoom call to meet with PMI to review the findings and discuss how to leverage the information to strengthen your practice's financial results.
Leverage Unparalleled Insights
PMI's exclusive partnership with Trek Health equips pediatricians with the insights they need to effectively manage their negotiated payment rates.
Don’t settle for unfair payment practices!! Boost your practice’s income by gaining transparent and accurate information leading to securing fair payment rates!
What To Expect From PMI
- Data Access: Gain access to a custom export from our database of reimbursement rates in your area, allowing you to compare your practice's contracts with other pediatric practices nearby. Additionally, we compare your practice's rates with non-pediatric specialties so you can learn about the disparity in payments for pediatric practices and turn this into a negotiation point.
- Expert Guidance: Based on the results, we will provide tailored advice on identifying underpaid procedures and developing effective negotiation strategies with MCO's.
50 CPT Codes Analyzed:
If PMI can help your practice increase your office visits or vaccine administration codes by as little as $3 each, imagine the impact over three years.
Why leave money on the table for MCO executives to keep for themselves?
Pricing
Standard PayorIntel Report ($399 per Payor): Top 50 CPT codes for pediatrics compared to five (5) other pediatric practices in your market as well as three (3) non-pediatric practices in your market.
Three Payor Report Bundle ($897.75- 25% Discount): Standard report for three payors
Available Payors Include:
- United Healthcare
- Aetna
- Cigna
- Anthem
- Blue Cross Blue Shield
- Plus many more
Custom Reports/Consulting: Available for your practice or organization to suit whatever needs you may have. Please contact us to let us know what you are looking for.
Get Started Now
Total Investment: $799 (Savings over $2,000)
Regularly priced at $2,799 offered for a limited time
We guarantee your complete satisfaction! Should you feel that PMI's analysis hasn't fully met your expectations, ignore the invoice!