Reimbursement up to
130% OF MEDICARE
Connecting providers with opportunity, accuracy, and confidence across Medicare and commercial networks.
The National Provider Registry (NPR) works with primary care and specialty practices across the country to help them grow their patient base, access new insurance contracts, and participate in programs that generate real financial returns · with no disruption to your existing operations. Our provider network contracts with independent practices as an aggregator to Medicare Advantage (MA)MA · Medicare Advantage. Private health plans approved by Medicare that cover Part A and Part B benefits in place of Original Medicare. and commercial plans to secure reimbursement rates as high as 130% of Medicare.
Most primary care and specialty practices are leaving thousands of dollars and significant patient volume on the table simply because they are out of network or don't have access to the right contracts, data, and programs. We're here to change that.
Accurate provider data powers better healthcare. It improves patient access, strengthens network integrity, and ensures providers are properly represented for the care they deliver. Reliable reference data helps payors and ACOsACO · Accountable Care Organization. A group of providers who voluntarily share responsibility for the cost and quality of care for a defined Medicare population. make informed contracting and performance decisions · and it helps patients find the right care, when and where they need it most.
Add your organization to our roster to access out of network contracts at up to 130% of Medicare for Medicare Advantage (HMO) and Commercial contracts.
Available to participating practices at no cost and no obligation.
We leverage established payor relationships to bring out-of-network contracts to independent practices, potentially resulting in payments of up to 130% of Medicare. No discounts to the Medicare Fee Schedule.
Ongoing updates to addresses, affiliations, locations, office hours, and operations contacts to keep registry data current.
We coordinate with office managers and billers semiannually or annually to keep payor and regulatory credentialing current.
Free webinars on risk score documentation, Star ratings, and operating profitably in the Medicare HMO space.
Eligible network providers can apply for paid seats on regional governance and clinical quality committees, with compensation up to $25,000 annually.
Available to qualified network practices who want deeper data and analytic support.
We apply Medicare expertise to review existing payor contracts in your geography, balancing reimbursement against RVUsRVU · Relative Value Unit. The unit Medicare uses to value physician work, practice expense, and malpractice across services. worked and administrative burden.
County, state, and national benchmarks on collection rates, fee schedules, and underpayment detection using proprietary datasets and RESDACRESDAC · Research Data Assistance Center. The CMS-designated source for researcher access to Medicare claims and enrollment data. access.
Support for compliant HCCHCC · Hierarchical Condition Categories. The risk-adjustment model used by Medicare Advantage and ACO programs to set payment based on patient acuity. documentation in Medicare Advantage and ACO risk arrangements.
Our team supports independent practices nationwide. Reach out with questions about our network, credentialing assistance, or to verify your registry listing.
Getting started takes one brief conversation. We will confirm your service area and walk you through which opportunities apply to your practice.
