Provider Contracting

MERCURY ADVISORY GROUP

a fully-owned subsidiary of Mercury Healthcare International, has been assisting healthcare providers that seek to contract with insurance companies, HMOs, PPOs, and ERISA and Taft-Hartley self-funded health benefit plans to develop and implement third-party payor contracting strategies and negotiate contracts since 1983.

All our team experts have both payor and provider contracting experience and more than 15 years of professional work experience in hands-on contract analysis and negotiations. Most have more than 20 years on the job.

Our clients include:

  • Hospitals and inpatient health facilities
  • ASCs
  • Micro-hospitals and free standing ERs
  • Urgent care centers
  • LTAC
  • Critical Access Hospitals
  • Community Health Centers
  • Medical and dental practitioners
  • Mental Health providers
  • Physical Rehab providers 
  • DME-HME
  • Home care services agencies
  • Pharmaceutical and medical device manufacturers
  • IPAs, PHOs, MSOs, ACOs and other integrated health delivery networks

 

 

Third-party Payor Contracting / Managed Care

Market Penetration - Contract Amendments - Renewals

HMOs - PPOs - INSURANCE COMPANIES - SELF-FUNDED EMPLOYERS - LABOR UNIONS - HEALTHCARE PURCHASING GROUPS

Contract directly with payors or through local, regional and national provider networks or get help with network lockouts and denied claims appeals

Contract Analysis

Full service consultation is available to help you analyze contract offers and develop counter-proposals or identify necessary changes to protect you from ambiguous terms and provisions that lead to payment delays and denials.

Negotiation Assistance

We negotiate on your behalf if you lack the time or expertise to negotiate on your own. Alternatively, we shadow coach you throughout the entire negotiation proceedings so you appear as the seasoned expert negotiator.

Payment Models

We assist with analysis and negotiation of any payment arrangement -- including, but limited to: discounted fee-for-service, performance-based contracting, shared risk, full risk capitation, case rates, DRGs, and more.

Market Penetration

If you recently opened and need to secure new payor contracts, we handle the market research, book of business analysis, due diligence, and other pre-contracting activities you'll need to grow and sustain your business.

MERCURY ADVISORY GROUP CONTRACTS FOR MANAGED CARE SERVICES ON AN HOURLY FEE AGREEMENT BASIS WITH AN ADVANCE DEPOSIT ON ACCOUNT

Upon request of our clients, Mercury Advisory Group experts assist clients with telephone or onsite consultation, outsourced contract review and recommendations for counter-proposals and modifications to protect them from unnecessary risk of payment delays, denials and costly administrative burdens. We can negotiate on your behalf or shadow coach you behind the scenes until you are comfortable doing it on your own.  

Each third-party payer or plan administrator selects its own short-list of qualified providers according to its company priorities and plan design for its employees, executives and retirees.  All costs associated with our services are borne by the provider.  Our charges do not imply any guarantee of success or preference by insurers, provider networks, HMOs, PPOs, or self-funded employers and labor union plan administrators.

 

Annual Client Contracts Managed Since 1983

Medical and Surgical Services, Rehabilitation, Diagnostic Exams, Consultations, Home Care, HME/DME, Pharma and Device Manufacturers

Consultation is available to help providers prepare for success with third-party payment contracting  and reimbursement strategies or to plan for contract amendments or deal with provider "lockouts" throughout the USA and 120 countries worldwide.

Find Out More

Call +1 (800) 727-4160 to learn more today

Come Visit Us In Denver

600 17th Street, Suite 2800-S
Denver, Colorado 80202

Or we can come to you

 

Mercury Advisory Group

Under the direction of Maria Todd, author of The Managed Care Contracting Handbook, 2nd edition
the Managed Care Contracting Handbook