Guiding the Business Side of Healthcare

We put you at the helm of your medical practice — guiding you, not only to the bottom line, but to an improved practice with solutions for credentialing and payer contracting — quickly, easily, affordably, ethically
Payer Contracting
Credentialing
Education & Seminars

Health Business Navigators

Services

R

Payer Contracting

  • Contract Assessment Projects
  • ContractMaster™, FeeCreator™, and FeeMaster™
  • Consulting and Renegotiations
  • Contract Maintenance
R

Credentialing

  • Provider Enrollment with Payers
  • Primary Source Verification
  • Assessments and Consulting
  • Delegated Credentialing
R

Education & Seminars

  • Custom onsite training
  • Custom training webinars
  • Featured speaker

Tools

Our inventory tool provides at-a-glance contract renewal dates, current rates, notice requirements, embedded agreements and more for both old and new contracts.
Learn more
This tool tests the appropriateness of charges, populates current rates for contracted payers, creates comparative analysis among payers, and much more.
Learn more
Our managed care contracting and chargemaster verification tool will revolutionize your ability to negotiate and monitor charges and see the effects of actual and proposed reimbursement rates.
Learn more

Upcoming Seminars

MGMA Medical Practice Excellence Pathways Conference

May 11-13, 2021   |  Digital Experience (DX)
Session Date and Time: Wednesday, May 12, 2021, 3:25-4:20pm EST

CON603: Recipe for Success: Mastering 15-Minute Payer Contract Reviews

Content area: Revenue Cycle Management
Intermediate | Traditional | Analysis

Speakers: Penny Noyes, CHC, president, HBN; Amanda Hilbert, director, payer contracting, HBN

Reviewing dozens of pages in old agreements or new proposals might seem daunting, but the key is to take a strategic look. In this session, attendees will learn how to assess a payer agreement, new or proposed, in about 15 minutes. The speaker will highlight key provisions, where you can typically find them, whether a payer can or might change the ugly stuff (or how to manage, if not), and how to jump-start a renegotiation or request for changes. Attendees will learn to quickly identify and assess issues with effective date, initial term, termination without cause, products, amendments, notice and rate exhibit. The session will also include a comprehensive checklist of other provisions to understand in contracting strategy.

This session will provide you with the knowledge to:

  • Outline key provisions needed for a critical payer contract review
  • Examine existing and proposed payer contracts for high-impact provisions
  • Breakdown specific provisions for renegotiation in a payer contract

Could your practice benefit from an in-depth look at your contracts and credentialing?

Watch this short video to learn how HBN can help you do that.

What are our clients saying?
“We were fortunate enough to work with HBN when FeeMaster was being developed. We’ve been using the payer analyzer tool for nearly a decade now to determine whether payer offer rates are appropriate… and when they are not, we use FeeMaster to develop counteroffers that are acceptable. With uninsured population being prevalent in some of the ER work that we do, we also use FeeMaster’s chargemaster tool to create the baseline for consistent prompt payment discounts for self-pay patients. FeeMaster has been invaluable in developing and achieving our group’s financial goals. Can’t say enough about Penny Noyes and the staff at HBN and the insight they provide us in the contracting process.”

— Jerome Silver, MD
Partner, Roswell Radiology Associates

“We outsourced both our payer contracting and credentialing to HBN, allowing us to tend to other issues as we were leaving a large hospital system.  HBN quickly researched & updated us on our status with all payers.  They got us directly credentialed and contracted, negotiating group agreements with improved rates and language in our initial agreements and positioned us for further improvements in year 2.  HBN’s ContractMaster inventories our agreements and contracted rates for easy reference by the practice and billing company. FeeCreator helps us to see side-by-side rate comparisons and assists in setting our charges. FeeMaster has been utilized to evaluate which agreements need most improvement and in modeling our renegotiation offers. HBN’s staff is responsive, knowledgeable, practical and works cooperatively with us, our billing firm and the payers.”

—Lauren Healy, M.D.
First State Pediatrics

“As a consultant overseeing a practice start up with a very aggressive opening date, I researched firms that specialize in payer contracting and credentialing. I discovered Health Business Navigators (HBN) had earned the distinction of being an MGMA AdminiServe Partner and brought HBN into the project to handle the credentialing and payer contracts. In very short order HBN assessed what needed to be done, proposed and then executed a contracting and credentialing strategy to meet the fast approaching deadline. HBN kept the practice and me in the loop, giving us the peace of mind so that we could focus on other business and clinical issues. HBN also interfaced with other parties, like the billing company, to ensure a seamless start. When it was done, the practice was in-network with all the chosen plans and we had electronic tools created by HBN that allowed us to access all of the agreements and rate schedules. They were incredibly knowledgeable, practical, responsive and their work, and charges for it, were a tremendous value! Choosing HBN helped to make me look good to the client.”

—Diane Lockhart
Insight Management Services LLC

Get In Touch

Health Business Navigators
1502 Westen Street, Suite 1
Bowling Green, KY 42104
Tel: 270-782-7272
Fax: 770-234-4245
info@healthbusinessnavigators.com