Increasingly, payers will separate (
) specific CPT® codes from their fee schedule and pay those services at a different rate - often reduced, allowing the company to save money or increase their revenue.
These carve-outs must be identified and managed appropriately. Easily done using your CodeToolz Contract Analyzer.
The CodeToolz Contract Analyzer is a tailor-made “scorecard” to measure contracts and proposals in terms of issues important to the provider, for our purposes, reimbursements.