Fee Schedule Negotiation Services

In today’s healthcare landscape, negotiating favorable fee schedules with payers is one of the most critical levers for improving profitability—yet it’s often underutilized. Fee Schedule Negotiation Services: We empower providers with data-backed strategies, payer insights, and expert support to secure better rates, align reimbursements with service costs, and boost long-term revenue.

Whether you’re establishing new payer contracts or reviewing renewals, our team helps you negotiate smarter—not harder.

Why Fee Schedule Negotiation Matters

Most practices accept payer contracts “as-is,” resulting in underpayments, revenue leakage, and mismatched reimbursement for high-cost services. Proper fee-schedule negotiation ensures your rates reflect the true value of care delivered, especially for high-volume or specialty procedures.

What MEDENDx Offers:

1. Contract Review & Benchmarking

We analyze your current payer contracts, compare them to market benchmarks, and identify underperforming fee schedules.

2. CPT Code-Level Strategy

Focus negotiations on the procedures and codes that matter most to your bottom line, such as high-utilization or high-cost services.

3. Payer-Specific Intelligence

Leverage our payer profile database to tailor negotiation strategies based on payer responsiveness, historical adjustments, and region-specific norms.

4. Custom Fee Schedule Modeling

We simulate multiple rate scenarios so you can see the financial impact of each negotiation outcome before you commit.

5. End-to-End Support

From initiating negotiation to finalizing amendments, we handle communication, documentation, and legal compliance.

6. Ongoing Monitoring & Re-Negotiation

Fee schedules aren't "set and forget." We track expiration dates, market shifts, and payer performance to re-engage when needed.

Ideal For:

• Independent and multi-specialty practices
• Group practices expanding to new regions or payers
• Clinics with stagnant reimbursement trends
• Providers seeking payer contract renewals or re-negotiations
• New practices setting up their first payer contracts

Benefits:

• Higher average reimbursement per claim
• Improved practice profitability without increasing patient volume
• Faster financial forecasting and revenue planning
• Better alignment between clinical and financial strategy
• Stronger long-term payer relationships

With Fee Schedule Negotiation, your contracts finally work for you—not against you.