PREPARE TO THRIVE

Payer Contracting | Payment Reform | Revenue Cycle

  • ProsperBeyond has led multiple managed care contract negotiations for our organization. We are a multispecialty group with approximately 60 providers, and complex agreements. The professionalism, experience, and knowledge base of ProsperBeyond's staff is exceptional. The team spent quality time understanding our organization and created a professional value proposition that allowed us to communication our strategic advantages to the managed care organizations. Communication during the negotiation process is very thorough and timely. One of the key success factors of working with ProsperBeyond is that the team fosters relationships between our organization and the managed care organizations. The negotiation process is tedious and time consuming, but ProsperBeyond goes above and beyond, representing our organization like it is their own.

    Christie Strong, CMPE

  • The team at Prosper Beyond have been instrumental in strengthening our reimbursement position with all major payers. Their strategic focus is clear. They are professional, knowledgeable in the industry and have solid connections across the nation. We have developed a strong working relationship with them and envision a long-term partnership with Doral and the Prosper Beyond team!

    Tara Jacobson - Practice Administrator - https://gjgastro.com/

  • Prosper Beyond has become a vital part of my revenue team. All the state-of-the-art billing and collections practices fall short if one isn’t benefiting from an optimized fee schedule. They have deep experience and are skilled at knowing when and how to negotiate improved third party payer contract terms and fee schedules without damaging relationships. Their periodic client status reports assure that follow-up- actions are done, including those assigned and not yet completed by the practice administrator. Furthermore, the team at Prosper Beyond is very generous with sharing their expertise so that not only are managed care contracts improved but so is my skill level. My practice and I have benefited immensely from our partnership with Prosper Beyond.

    Michael J. Buncher - Hendersonville Pediatrics - https://www.hendersonvillepediatrics.com/

  • Since our Medicare Quality Payment Program journey began four years ago, Prosper Beyond has been an essential partner, contributing positively to our successful performance. From the initial organizational readiness assessment, to the engaging on-site stakeholder workshops, combined with regular check-ins and annual strategic planning-we could not have achieved our high-score outcomes in our MIPS performance years without their key partnership!

    Christine N. Johnstone - Vice President Quality & Process Improvement - Eisenhower Health - https://eisenhowerhealth.org/

  • As a business owner of a small private practice, I must be careful where to spend my limited resources. The team at Prosper Beyond has been a great investment. They have been critical for negotiating better reimbursements. In addition to being effective, it is a delight to work with them.

    Dr Julia Warren-Ulanch - https://www.ccendocrinology.com/

  • Prosper Beyond promised to help us obtain insurance payer contracts that were more appropriate for the kind of care we provide and the results they achieved were beyond our expectations! They stated that they would not promise something they couldn’t deliver and their relationships with third party payers made all the difference for us in my opinion. My physicians are extremely pleased with our outcomes and I highly recommend Prosper Beyond's services!

    Christina B. Young, MBA, CMPE - Administrator - Cabarrus Eye Center - https://www.cabarruseye.com/

  • I have known the leadership at Prosper Beyond for approximately 20 years, most recently as a representative for physician practices across the negotiation table. They are extremely astute in all aspects of managed care contracting and negotiation. The team is intelligent, professional, strong communicators and a stern negotiators. You will find that them is very knowledgeable in various forms of Value Based Contracting and collaborative arrangements. What impresses me most is their ability to keep progressively knowledgeable in the current healthcare market and her dedication to their clients.

    Elaine C. Guthrie - Director, Carolinas Contracting - Cigna - http://www.cigna.com

  • Propser Beyond is a very insightful and effective advisor on Revenue Cycle Management opportunities. They have a unique ability to deliver findings and recommendations in clear, actionable language. Definitely would retain their services again.

    Chris Carney - Former CEO of Diamond Healthcare - http://www.diamondhealth.com/

  • I wish to thank Prosper Beyond for the professional help you provided Lake Norman Pathology with auditing the collections for our practice which you provided in the past. We also wish to thank you for your help negotiating managed care contracts. When we have a similar need we will certainly contact you.

    Edgar O Hartle MD - Associate Medical Director - Lake Norman Pathology - http://lknpathology.com

  • The MACRA Readiness Assessment was very valuable for WNC Dermatological Associates. It’s the MACRA ‘cliff notes’ in practical terms that helped us understand the Quality Payment Program, identify the financial impact of the program and validate our measure selection for MIPS. We also gained insight and guidance on how we can work on ‘cost’ during 2017 through the Quality and Resource Use Report (QRUR ) analysis.

    Rocky Bacelieri, MD - WNC Dermatological Associates - http://wncderm.com/

23
years

average consultant experience

3204
clinicians

represented to date

15
million dollars

economic impact to date

At Prosper Beyond, we set you up to thrive in the value based world.

Looking forward into 2021 and beyond, payer contracting complexity will increase and require an even greater focus and astute approach.  The pandemic has created additional expense for practices and the need for reimbursement above and beyond current rates is imperative.  Clinicians depend on payer partners to come to the table and work collaboratively to care for our communities.

Payer
Contracting

We will work with your practice to develop a comprehensive payer contracting strategy including assistance with contract negotiations from start to finish.  Our approach is collaborative – we work with your team to identify where you want to be on the payer contracting continuum and provide the support to get you where you’re going.

Quality Payment Program Readiness

We will develop your practice’s Quality Payment Program Action Plan framing key milestones and timelines including: economic impact, measure selection, timelines, vendor involvement, monitoring, and more. Preparing for future programs now will enable your practice to potentially avoid penalties, position for bonus dollars, and assess alternative payment model participation.

Revenue
Cycle
Optimization

We work with your practice to identify strengths and weaknesses in your revenue cycle and develop a compass to optimize performance.  Our approach includes a current state assessment comparing your practice to better performing practices paired with operations insights, creating a comprehensive gap analysis.  Focusing on getting paid for the care you provide creates the foundation for a sustainable future.

Speaking and Workshops

Our advisory team includes sought after speakers covering a comprehensive array of educational topics that are timely, relevant and chalk full of practical ‘how to’ guidance.  We speak at a wide variety of conferences ranging from local medical management groups to many national platforms both live and by webinar.   Popular topics include: MACRA, Payer Contracting, Alternative Payment Models, Revenue Cycle, Patient Centered Medical Home, Quality and Resource Use Reports, Value Proposition Development, Time of Service Collections and more.