PayrHealth

11/20/2025

📈 From 2008 Reimbursement Rates to 130% of 2021 Medicare Rates

When a Sports Medicine and Occupational Therapy group realized outdated contracts were limiting their growth, they turned to PayrHealth to help them renegotiate decades-old agreements.

We helped them:

✅ Move top contract offers from 2008 reimbursement levels to 130% of current CMS rates
✅ See a 5–10% revenue increase in their top-performing codes
✅ Gain in-network access for new services
✅ Strengthen payor relationships

💡 “By completing these renegotiations, we’re now able to provide quality care and be fairly reimbursed for years to come.” –Sports Medicine and Occupational Therapy

👉 Read more in the case study: https://shorturl.at/FscmJ

Learn how PayrHealth Secures For SMOC 5-10% increase in revenue for top-performing codes in this amazing case study!

11/19/2025

“Every conversation I have with a provider starts the same way — they want to deliver great care, but they’re stuck fighting for fair reimbursement.”

With more than 20 years in the healthcare industry, Laura Cabe, VP of Revenue at PayrHealth, knows the business side of healthcare can be as complex as the clinical one.

From pharmaceuticals to managed care, Laura has spent her career helping healthcare leaders find clarity and confidence in their revenue strategy.

💬 “My role isn’t about selling services — it’s about solving problems. I get to show providers how strategic payor contracting, credentialing, and revenue cycle support can completely change the trajectory of their practice.”

At PayrHealth, Laura helps healthcare organizations nationwide strengthen their financial foundation — turning uncertainty into growth and relationships into results.

📈 When providers have the right strategy, they don’t just survive the system — they start leading it.

11/18/2025

🚀 7 Core Characteristics of Effective Claims Management

Claims management isn’t just about submitting claims — it’s about building a smarter, data-driven process that drives revenue, reduces denials, and strengthens payor relationships.

At PayrHealth, we help providers streamline operations and align their claims strategy with their payor contracts — delivering cleaner data, fewer denials, and faster payments.

Here are 7 key traits of high-performing claims management teams:

1️⃣ System Integration
2️⃣ Proactive Claim Scrubbing
3️⃣ Real-Time Validation
4️⃣ Payor-Specific Expertise
5️⃣ Broad Payor Connectivity
6️⃣ Customizable Processes
7️⃣ Business Continuity Plan

💡 Why it matters: When contracts and claims management are aligned, providers see fewer denials, faster reimbursements, and stronger financial stability.

👉 Read more in this blog post: https://shorturl.at/QxwVu

11/13/2025

✨ Employee Spotlight: Meet Shi Crumpacker, Account Manager at PayrHealth! ✨

With a background in healthcare and a passion for helping others 💙, Shi brings both compassion and precision to every client interaction.

Shi began her healthcare journey as a Patient Account Representative, where she gained hands-on experience in patient billing, account management, and insurance processing — rounding out her understanding of the full revenue cycle. Now, as an Account Manager at PayrHealth, she partners closely with providers and clinic managers to ensure every billing need is handled efficiently, accurately, and with care. 🩺

“Helping others is truly one of the best things we can do in life, and helping my clients and their patients resolve an issue is a great feeling.” 🌿

Shi’s favorite part of working at PayrHealth? The teamwork and culture of learning:

“Each department has its own area of expertise, but everyone is always willing to step in, help, and teach. That positive learning cycle creates a company rooted in growth.” 💪

When she’s not managing client accounts, you’ll find Shi editing novels ✍️, rebinding books 📚, or reading the next great fantasy story 🧙‍♀️. She’s also worked at a veterinary clinic 🐾 — proving her passion for healthcare truly knows no species!

We’re so grateful to have Shi on the PayrHealth team! 💙

11/12/2025

📈 Results that speak for themselves.

Over just three years, Delta Health achieved:

✅ 14.5% increase in inpatient reimbursement rates
✅ 25%+ increase in select high-volume outpatient services

When their UnitedHealthcare agreement neared termination, Delta Health turned to PayrHealth. Our contracting experts re-negotiated key terms, secured multi-year escalators, and prevented disruption in their payor relationship, resulting in meaningful reimbursement gains across the board.

💡 Read the case study here: https://payrhealth.com/case-studies/delta-health-system

11/11/2025

Today we honor the brave men and women who have served our country with courage and dedication.

At PayrHealth, we are deeply grateful for the veterans who have protected our freedoms and exemplify strength, resilience, and service.

Thank you for your sacrifice — today and every day.

11/06/2025

As healthcare organizations plan for 2025, financial strategy is top of mind. 📈

From renegotiating outdated payor contracts to reducing denials and investing in new RCM technology, every decision impacts the bottom line — and the ability to deliver quality care.

At PayrHealth, we partner with providers nationwide to strengthen payor relationships, improve reimbursement accuracy, and build financial stability for the year ahead.

👉 What’s your team focusing on as you plan for 2025? Let us know in the comments!

11/05/2025

💡 Top 10 Strategies for Smarter Payor Contract Negotiations

Negotiating with payors isn’t just about reimbursement rates, it’s about strategy, data, and partnership. Our blog post breaks down the 10 most effective ways to strengthen your position and secure better terms.

From understanding your unique value to building long-term relationships and monitoring performance post-signing, these insights are a must-read for any healthcare leader navigating complex payor dynamics.

📊 If you’re ready to take control of your payor strategy and improve your financial performance, check out the full article below.

👉 Read more: https://payrhealth.com/blog/10-top-strategies-for-payor-contract-negotiations

11/04/2025

🎉 Join us in celebrating our incredible team members with November anniversaries!

🌟 Bethany Laws – 4 years
🌟 Kayla Schmidt – 2 years
🌟 Scott Dewey – 2 years
🌟 Dawn Broad – 1 year
🌟 Kelli McQueen – 1 year

Thank you all for your hard work, dedication, and commitment to our mission at PayrHealth. We’re grateful for everything you do to make our team stronger every day! 💙

10/30/2025

📍 Case Study Highlight: Women’s Pelvic Floor Therapy (Los Angeles)

This growing PT practice came to PayrHealth without the in-house resources to scale payor contracting and credentialing across regions.

What we did:

✅ Shifted reimbursement to per-diem models
✅ Led contracting & credentialing with market insight, data analyses, and hands-on negotiations
✅ Built a strategic roadmap for national expansion and telehealth growth

Results:

✅16 executed payor contracts (with additional pursuits underway)
✅National footing established and telehealth capacity expanded
✅Stronger payor relationships through ongoing guideline and compliance reviews

Key services: Payor Contracting • Contract Negotiations • Credentialing

If you’re planning expansion or renegotiations, let’s talk. PayrHealth has negotiated 50,000+ contracts in all 50 states and brings 40+ years of revenue-cycle leadership to help you secure competitive rates and close revenue gaps.

10/29/2025

⏰ Q4 check-in time! Before Jan 1, which bottleneck is eating up the most hours at your org?

A) 🧾 Credentialing delays
B) 📊 Fee schedule / contract terms
C) 📝 Prior authorizations & plan rules (UM)
D) 🚫 Denials / underpayments

Drop A–D (or “Other”) in the comments—your insights help the whole community.

10/28/2025

Client feedback we’re proud of. 💙

“PayrHealth has been a game-changer for our urgent care—helping renegotiate key contracts and secure better reimbursement rates. Kristi (Consultant) and Bethany (Senior Project Manager) were proactive, easy to work with, and truly felt like part of our team.”

If you’re looking to strengthen payor strategy and reimbursements, we’d love to help.