Payer Contract Negotiation Backed by Your Own Data.
Most practices sign the first fee schedule they are offered and never revisit it. WCH benchmarks your contracted rates against your actual utilization and negotiates the codes that move your revenue.
Why rates stay low
Contracts auto-renew
Evergreen clauses roll old rates forward year after year without review.
No utilization analysis
Negotiating without knowing your own code volume means arguing about codes that do not matter.
Silent underpayments
Payers sometimes pay below the contracted rate; without reconciliation nobody notices.
Missing leverage
Practices rarely document access, quality, specialty scarcity or referral value — the arguments payers respond to.
What the engagement covers
Contract inventory
All active agreements collected with effective dates, term, escalators and termination clauses.
Rate benchmarking
Contracted allowables compared code by code against Medicare rates and your payer mix.
Utilization analysis
Your actual CPT volume and revenue concentration identified so negotiation focuses where it pays.
Underpayment audit
Paid amounts reconciled against contracted rates; discrepancies documented and disputed.
Negotiation package
A written case with data, market context and specific rate asks per code.
Negotiation support
Direct engagement with payer network representatives through to a signed amendment.
How it runs
- 1
Discovery
Contracts, remittances and utilization gathered under a confidentiality agreement.
- 2
Analysis
Rate gaps, underpayments and priority codes quantified in a written report.
- 3
Strategy
Target rates and negotiation sequence agreed with you before anything is sent.
- 4
Negotiate and verify
Requests submitted, followed up and — once amended — verified against actual remittances.
Why practices choose WCH
- Works for solo practices as well as groups
- Findings delivered in writing, not verbally
- Includes credentialing and contracting cleanup where needed
- Confidential handling of contract terms
Frequently asked questions
Related services
Ready to see the numbers for your practice?
Book a free 30-minute call or email contact@wchsb.com. We will review your current performance and tell you exactly what is recoverable.