Optimize Reimbursements with Expert Contract Analysis, Negotiation & Credentialing Services
In today’s healthcare landscape, strong payer contracts and proper credentialing are critical to maintaining financial stability and revenue growth. Studies show that up to 40% of a provider’s revenue is directly impacted by contract terms, yet many healthcare organizations lack the time and expertise to negotiate optimal rates. Additionally, credentialing delays can result in months of lost revenue, with some providers experiencing a 25-30% drop in collections due to lapsed enrollments or payer processing errors.
At BillWell, we provide comprehensive contract analysis, negotiation, credentialing, and ongoing maintenance, ensuring you receive the highest possible reimbursements while staying compliant with payer requirements.
Contract Analysis & Negotiation – Secure Favorable Terms for Maximum Revenue
Payer Contract Review & Benchmarking
We analyze existing contracts against industry benchmarks, identifying underpayments, unfavorable terms, and renegotiation opportunities to increase reimbursements.
Strategic Negotiation
Our experts leverage payer data and reimbursement trends to negotiate higher rates, improved terms, and better payment structures on your behalf.
Revenue Impact Assessment
Poorly negotiated contracts can cost hundreds of thousands in lost revenue annually—we ensure your agreements align with the financial goals of your practice.
In-Network vs. Out-of-Network Strategies
Whether you’re considering joining or leaving a network, we help assess the financial implications and guide you toward the most profitable path.
Credentialing & Enrollment – Avoid Revenue Loss Due to Delays
Credentialing is a time-sensitive and complex process, with errors or delays leading to months of lost billing opportunities. Our dedicated credentialing specialists manage the process from start to finish, ensuring timely approvals and ongoing compliance.
Initial Credentialing & Payer Enrollment
We handle all paperwork and communications with payers, ensuring fast and accurate provider enrollment.
Re-Credentialing & Maintenance
Expired credentials can suspend payments and disrupt cash flow. We track renewal deadlines and proactively maintain provider enrollments.
Payer Compliance & Audit Readiness
Stay compliant with payer regulations, avoiding delays due to missing or outdated documentation.
Multi-State & Multi-Payer Management
If your practice operates in multiple states or contracts with multiple payers, we ensure seamless credentialing across all locations.
The Cost of Poor Contracting & Credentialing
- 80% of providers accept payer contract terms without negotiation, leaving money on the table.
- Denied claims due to credentialing errors account for up to 10% of revenue losses annually.
- Lapsed credentialing can lead to payment suspensions of 3-6 months, significantly impacting cash flow.
- Practices with strong payer contracts and credentialing processes see up to 20% higher revenue compared to those with outdated agreements.
Strengthen Your Financial Foundation with BillWell
With payer rates tightening, staffing shortages rising, and administrative burdens increasing, healthcare organizations must prioritize contract optimization and credentialing efficiency. BillWell’s expert team ensures you’re paid what you deserve, reducing revenue disruptions and improving long-term financial performance.