Taking insurance in your practice involves many different aspects, including NPI, CAQH, and forms completion for the various carriers. Insurance contracting is a very time consuming process and can take several months to complete. Each payer will require different pieces of information and a continuing follow up process.

Most practices find themselves guessing or asking other physicians, which in turn, significantly lowers your chances for having a successful contracting experience.

Additionally, another key factor in the process involves the fees you charge. The fee schedule is the single most important financial tool within the medical practice. A proper and thorough fee schedule analysis involves much more than raising fees and may actually have nothing to do with fee adjustments at all. The methods for both insurance contracting and establishing a defensive fee schedule are a lot more complex. The Jackson Medical Management Consulting Group can assist you with one or both of these processes.

Insurance Contracting Package includes:

• CAQH Updates
• Forms Completion
• NPI completion and/or updates

Fee Schedule Development Incudes:

• Comparative analyses using national and local average fees
• Fee Schedule Analysis of your current fees if applicable
• Fee Schedule Development and/or Update

What We Need:

• Any Original Insurance Contracts (if we are renegotiating)
  •  Any Contract Info for Provider Relations Representative, Contracting Manager, and/or Network Manager
• Current Fee Schedule (from insurance carrier if we are renegotiating)
• All current carrier numbers
• Personal NPI and CAQH login and password information
• Past/Former Group Practice NPI number
• Top 25 CPT Codes