FedMed maximizes savings outcomes by combining proven negotiating techniques and comprehensive claims analysis tools with clinically based Bill Reviews. Savings opportunities are enhanced through accelerated payment arrangements including FedMed's pre-funded payor agent programs. By advancing claim payments on behalf of payors, FedMed is often able to leverage deeper provider discounts, strengthen the stability of the discounts and increase the chances of future discounts.

As a starting point for negotiations, FedMed uses a clinically based Bill Review approach. Our clinical lead is a licensed physician and serves as principal full time advisor for claims analysis resources/methodologies and negotiating strategies.

FedMed's proprietary and industry resources used to benchmark claims for negotiations include:

• Inpatient and outpatient facility cost-to-charge ratio data
• DRG payment rates
• Zip code based reasonable and customary (R&C) data for practitioners, outpatient facilities, supplies, equipment and drugs
• Network contract data
• RBRVS data
• Drug wholesale pricing data

FedMed's client tailored network development strategy is enhanced through utilization of our Fee Negotiation and Bill Review services. Using a combination of non-network utilization data collected through our negotiation processes and direct point of negotiation solicitations, FedMed ultimately creates more contracted first dollar savings for our clients.