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solutions | managed care contracting

Better Contracts Drives Increased Cash Per Case.

nimble connects managed care contracting with coding, billing, and revenue cycle operations to ensure negotiated terms are accurately applied, claims are reimbursed as expected, and every contract performs to its full potential.

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NIMBLE By THe Numbers

Real, Impactful Savings.

Cash-per-Case Improvement
MCC Negotiated Annually
Coding Accuracy

Expert Contract Optimization

Payer Contracts That Maximize Reimbursement.

Your payer contracts directly impact every claim you submit. At nimble, we help surgical organizations negotiate, optimize, and manage managed care agreements that maximize reimbursement and support long-term financial performance. 

Our team combines deep payer expertise with real reimbursement data to identify opportunities, strengthen negotiating positions, and ensure contracts continue delivering value long after they’re signed. 

HOW IT WORKS

Ensure Maximum Reimbursement for Every Procedure.

nimble has vast experience working with major payers to turn contract management and analyses into real growth opportunities for your surgical organization. While engagements can be bespoke, we’ll always cover:

Contract Management

  • Incorporate metrics into SOPs for billing team to ensure accuracy
  • Communicate payer updates, requirements, and notices to stay compliant
  • Measure contracts against payer and regional benchmarks

Chargemaster Analysis

  • Detailed reimbursement matrix by payer for thorough chargemaster evaluation
  • Ensure maximum reimbursement down to the CPT-code level
  • Assess compliance by assuring no incidental overcharging

Case Analysis & Coding

  • Measure full case reimbursement against other contracts and Medicare
  • Determine profitability of each case based on payer contract and overhead costs
  • Review practice trends to ensure maximum case-by-case profitability

Why You Should Trust Us With Your Contracts:

nimble doesn’t stop at the negotiation table. We combine managed care expertise with revenue cycle, billing, and reimbursement analytics to ensure your contracts perform the way they were intended.

Revenue Cycle Perspective

Our contract strategies are informed by real-world billing, reimbursement, denials, and payment trends, not just benchmark rates.

Proven Contract Expertise

We negotiate and manage thousands of payer contracts each year for ambulatory surgery centers, physician practices, and anesthesia groups.

National Market Intelligence

Access reimbursement benchmarks, payer insights, and market trends across 45+ states to strengthen your negotiating position.

Trusted Payer Relationships

Years of experience collaborating with commercial payers nationwide provide valuable insight throughout the negotiation process.

What Our Clients Have to Say

  • Due to nimble expertise and experience, they were able to renegotiate better contracts and increase our contract reimbursement by 305%. We’re now able to bring additional cases to our center.
    – ASC Administrator
  • In our very first year with nimble, with the same number of cases, we have increased our cash per case by 73%, all of which is pure profit for us.
    – Owner and CEO, Surgery Center

Find Out Where Your Contracts Stand.

nimble experts can help answer tough questions that identify areas for your financial improvement.

Request an audit