Managed Care Contracting & Healthcare Contract
Managed Care Contract Management: Stop Revenue Leakage
Managed care contracts dictate your revenue. Yet, for many, the contract is a “set it and forget it” document. This passive approach is one of the most significant sources of lost revenue.
How Managed Care Contract Management Works
No more stagnant rates. AIE Medical Management acts as your advocate, transforming static documents into dynamic tools for financial growth. Our team evaluates agreements and integrates seamlessly with your revenue cycle.
Organizes Contracts
Our team creates a centralized "source of truth" for fee schedules and renewal terms.
Models Performance
Using advanced analytics, AIE models how proposed rate changes impact your specific code mix.
Negotiates Terms
Our experts handle negotiations with data-backed confidence to secure favorable rates.
Monitors Compliance
We audit paid claims against the fee schedule to identify variances and recover underpayments.
Prevents Denials
We streamline workflows by adjusting claims management to prevent contract-based denials.
Recovers Underpayments
We systematically appeal underpayments to hold payers accountable to the signed agreement.
Your Strategic Advocate
AIE Medical Management frees you from administrative burdens so you can focus on your patients—not your contracts. We work behind the scenes to turn complex legal language into enforceable financial performance.
No more silent underpayments. No more operational misalignment. Just fair reimbursement, fewer denials, and a whole lot more financial clarity.
Get back to being a provider.
Why Healthcare Leaders Choose AIE
Expertise vs. Generalist Knowledge
We understand specific payer methodologies and how to counter their tactics.
Data-Driven Leverage
We negotiate based on data, presenting your practice's value to secure rate increases.
Continuous Monitoring
We act as your watchdog, ensuring the payer respects the terms long after the ink is dry.
Cost Effectiveness
Outsourcing provides you with an entire team of experts for a fraction of the cost of a single executive salary.
Holistic Perspective
We understand how contract clauses translate to denials, preventing terms that are operationally impossible.
Proven Strategies for Revenue Optimization
Our managed care contract management process is designed to deliver measurable financial improvements.
- Fee Schedule Analysis: We compare your rates against benchmarks to identify underperforming payers.
- Chargemaster Alignment: We ensure your billed charges are set appropriately to avoid “lesser-of” clauses.
- Payer Mix Optimization: We help you evaluate which payers are profitable partners.
- Strategic Negotiation: We negotiate “fine print” like lesser-of language and filing deadlines.
- Underpayment Recovery: We catch variances where standard software fails, recovering lost revenue.
Managed Care Contract Management for Every Specialty
AIE Medical Management supports various sectors, providing efficient contract management and negotiation across the healthcare landscape.
- Cardiology
- Orthopedics
- Family Practice
- Internal Medicine
- Multi-Specialty Groups
- Hospital Systems
Ready to Analyze Your Contracts?
Do not leave your revenue unmanaged. Partner with AIE Medical Management to professionalize your contracting strategy. Whether you need to renegotiate a single agreement or outsource your entire portfolio, our team is ready to drive results.
