Enter your payer mix percentages and average visit volume, see the effective reimbursement rate, margin contribution per payer, and where mix-shift has the biggest upside. No email required.
We'll audit your top 5 commercial contracts against your specialty's best-performing rate schedules and identify underpaid fee schedule items.
We use the Medicare allowed amount as the baseline (100%) and apply standard payer multipliers: Medicaid 70% of Medicare (range 60-85%), Commercial 125% of Medicare (range 110-140%), Self-pay 45% collected (net of bad debt after statements and discounts), Workers' Comp 135% of Medicare. These are national medians; your specific contracts will vary. Enter your actual Medicare allowed to localize the model to your specialty and region.