The Medical Group Management Association (MGMA) approximates that insurers routinely underpay U.S. healthcare providers by 7–11%. Your payers are underpaying your contracted rates, denying claims, and using your contracts themselves to keep you from being paid what you deserve.
Contract revenue versus net revenue
The claim adjudication engine
Underlying terms that keep you from reimbursement
Reworking payer contracts to avoid future underpayment
