Are you ready for your payor negotiation?

The Knowledge Center

Everything a CFO, Revenue Cycle Director, or Practice Administrator needs to understand payor rate intelligence — and how to use it.

Medical groups and PE-backed practices are making high-stakes decisions about payor contracts, acquisitions, market expansion, and provider recruitment with incomplete information. The Knowledge Center exists to change that — with expert guides, specialty-specific analysis, and clear explanations of the data landscape that makes all of it possible.

Use Cases

How large medical groups and PE-backed practices apply payor rate intelligence — from contract renegotiation to M&A, market expansion, and provider recruitment.

USE CASE
Preparing for a payor contract renegotiation
What data you need, how to use it, and what to expect when you walk into the room.
USE CASE
M&A due diligence using payor rate data
Why the revenue a practice reports is only half the story.
USE CASE
Rate benchmarking for large groups
How sophisticated practices use peer rate data to negotiate from evidence, not guesswork.
USE CASE
Transparency in Coverage rule
What the TiC rule requires insurers to disclose — and how providers can use it.

By Specialty

Payor rate dynamics vary significantly by specialty. These guides cover the specific codes, rate modifiers, and negotiation leverage points that matter most for each.

BY SPECIALTY
Physical Therapy & Occupational Therapy
MPPR-adjusted rate benchmarking for high-volume PT and OT groups.
BY SPECIALTY
ENT & Allergy
Procedural codes, immunotherapy rates, and facility vs. non-facility strategy.

Why Payorology

How Payorology's expert-guided approach differs from self-serve platforms, EHR-based analysis, and traditional consulting — and why that difference shows up in negotiation outcomes.

WHY PAYOROLOGY
Self-serve vs. expert-guided analysis
What practices discover — too late — when they go it alone with a self-serve platform.
WHY PAYOROLOGY
Why your EHR can't tell you this
Your billing system knows your story. It knows nothing about anyone else's.

Thought Leadership

Expert perspective on payor rate intelligence, healthcare contracting, and the reimbursement dynamics shaping large medical groups and PE-backed platforms.

THOUGHT LEADERSHIP
The reimbursement gap
What we see when practices first look at what their peers are being paid.
 THOUGHT LEADERSHIP
Why the room goes quiet
The moment that changes how a practice thinks about its payor relationships — forever.

Glossary

Plain-language definitions of key terms in payor contracting, price transparency, and healthcare reimbursement.

GLOSSARY
Payer-specific negotiated rate
The rate that actually governs what you get paid — and why it varies so dramatically.
GLOSSARY
Machine-readable file (MRF)
The public file that makes payor rate benchmarking possible — and why it's hard to use.
GLOSSARY
MPPR
Multiple Procedure Payment Reduction — the modifier that changes everything for high-volume specialties.
GLOSSARY
View all glossary terms
10 key terms defined for CFOs, Revenue Cycle Directors, and Practice Administrators.