Payer policy
Payer contract negotiation
Renegotiating commercial rates and terms, usually anchored to a percentage of the Medicare fee schedule.
What it means in dermatology
Leverage comes from data: your volume by code, the payer's mix in your market, and evidence of your quality and access. Dermatology practices with surgical volume have more of it than they typically use.
Terms matter as much as rates — timely-filing windows, appeal deadlines and multiple-procedure logic all affect realized revenue.
Why it matters to your revenue
A two-point rate improvement compounds across every claim for the life of the contract.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report — including where terms like this one are costing you money.
Request a free claims audit