A complete audit and line by line assessment of your healthcare contract with the aim targeted to identify potential inaccuracies within the following fields: 

• Payment terminology, including a reassessment of reimbursement schedules to ensure they meet the current market contingencies. 
• Termination and transition language including but not limited to provider credentialing. 
• Review of participating line of business(s).
• Medicare provisions based on CMS guidance. 
• Performance standards, including value-based initiatives. 
• Regulatory and compliance standards review. 
• Amended contract language review. 

All communications, outcomes, and final analysis results to be delivered via email within 72 hours from the time of contract submission. 

A complete audit and line by line assessment of your healthcare contract with the aim targeted to identify potential inaccuracies within the following fields:

• Payment terminology, including a reassessment of reimbursement schedules to ensure they meet the current market contingencies.
• Termination and transition language including but not limited to provider credentialing.
• Review of participating line of business(s). 
• Medicare provisions based on CMS guidance.
• Performance standards, including value-based initiatives.
• Regulatory and compliance standards review.
• Amended contract language review.
  

*IN ADDITION*

This package will include an hour and a half phone and or virtual consultation to provide expert advice on how to negotiate stronger terms, discuss outcomes on your current agreement, and one contract revision. 

DNA Medical Consultants, LLC is here to support all levels of your managed healthcare contractual needs from beginning to end. Whether your organization is looking to start a partnership with a new payer or renegotiate the terms of a current agreement, that deems more financial benefits, DNA is here for you!

A complete audit and line by line assessment of your healthcare contract with the aim targeted to identify potential inaccuracies within the following fields:  

• Payment terminology, including a reassessment of reimbursement schedules to ensure they meet the current market contingencies. 
• Termination and transition language including but not limited to provider credentialing. 
• Review of participating line of business(s). 
• Medicare provisions based on CMS guidance. 
• Performance standards, including value-based initiatives. 
• Regulatory and compliance standards review. 
• Amended contract language review.  

*IN ADDITION*

• This package will include a fully comprehensive analysis that would be presented and evaluated with the provider to arrange the next steps.
• Discussions with the health plan to renegotiate specified terms, as conferred with the provider.
• Email, phone, and virtual communications throughout the entire process.

With expertise in negotiating the best terms possible and guarenteed results, you will be kept abreast of every draft of the contract transitions from initiation to execution. 

*Per Hour Rate * 

While the financial aspects of your organization are critical, they don’t have to be the most consuming part of your day. DNA Medical Consultants, LLC will work to help you get ahead allowing the practice to reach their financial goals!

This package includes an audit of sampled claims, billing, and payment procedures of the medical practice, with recommendations and expert advice on methods to streamline the financial operations and process more successful insurance claims.  

*Per Hour Rate * 

While the financial aspects of your organization are critical, they don’t have to be the most consuming part of your day. DNA Medical Consultants, LLC will work to help you get ahead allowing the practice to reach their financial goals!

*IN ADDITION*

• This package includes a comprehensive audit of claims, billing, and payment procedures of the medical practice, with recommendations and expert advice on methods to streamline the financial operations and process more successful insurance claims. 
• A complete SWOT analysis to develop a full awareness of all the contributing factors involved in making business decisions geared towards greater profitability.
• Evaluation of contract reimbursement language to determine the most current payment methodology.
• A personalized best practice workflow created specifically to support optimization in revenue.
• Identifying top generating CPT codes of the practice.
• Continued monitoring until desired results are achieved.
• Provider education that is dedicated to supporting billing and operational gaps.

Per Hour Rate

Per Hour Rate

Duration of half an hour 

Duration of one hour