Medical Payment Negotiations
Level Solutions LLC achieves significant medical costs savings by negotiating with providers and securing signed payment agreements. Prior to any negotiation, Level first completes an analysis utilizing proprietary and public benchmarked healthcare reimbursement data, provider costs data, usual and customary data sources, as well as utilization standards to complete the Level Analysis of the services requested or provided. Whether negotiating prospectively (pre-service) or retrospectively (post-service), the key indicators of the Level Analysis serve as the basis for the negotiation.
Pre-service (Prospective) negotiations:
Long Term AcuteCare (LTAC)
Extended Inpatient Care
Inpatient Rehabilitation
Skilled Nursing
Out-of-Network providers
Any treatments not addressed by Fee Schedule
Post-service (Retrospective) negotiations:
Large Dollar medical bills (typically over $5,000)
Outpatient Hospital charges
Ambulatory Surgery Center charges
Inpatient Bills reaching outlier status
Implants charges
“By report” charges
Out-of-Network Bills
Specialty Reimbursement Reviews and Audits
Nurse Audits
Code Review