{"id":137,"date":"2021-03-31T21:35:40","date_gmt":"2021-03-31T21:35:40","guid":{"rendered":"https:\/\/www.bikhamhealthcare.com\/provider-resources\/?p=137"},"modified":"2026-02-03T20:34:08","modified_gmt":"2026-02-03T20:34:08","slug":"the-right-payor-mix-for-your-practice","status":"publish","type":"post","link":"https:\/\/www.bikhamhealthcare.com\/provider-resources\/the-right-payor-mix-for-your-practice\/","title":{"rendered":"Determining the Right Payer Mix for Your Practice"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Many healthcare practices start off with exceedingly small budgets. They have just enough money set aside to start their business, relying on <a href=\"https:\/\/www.bikhamhealthcare.com\/credentialing\/\" target=\"_blank\" rel=\"noreferrer noopener\">insurance credentialing companies<\/a> to help them make sound decisions when it comes to provider enrollment, and to ensure they get the best reimbursement rates for their services.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Here are just a few key strategies to help you determine which payer mix might be best for your practice:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The first thing a provider can do to help ensure they are choosing the right payer mix is to <strong>survey the demographics<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Take the time to research the demographics of the area you are beginning your practice in.&nbsp; Areas of focus could include competing practices, the total member population (and mix), and any ethnic backgrounds that may require special needs such as interpretation services.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The second aspect that cannot be overlooked is to <strong>ensure the appropriate provider(s) are in place for your unique specialty<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Often times, payers will look at a provider\u2019s credentials, certifications and awards to determine the rate at which they are able to reimbursed for services rendered. Although a provider may be accredited, many things like board-specialty certifications and medication-waivers cannot be overlooked when starting your practice to ensure you are compensated at the highest level for the services you are providing for your patients.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Finally, you must <strong>know what plans are offered in your area.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>It is critical to have a clear understanding of all plan options for your served geography.&nbsp; If you don\u2019t already know which plans would best optimize your practice, your Credentialing Specialists at <a href=\"https:\/\/www.bikhamhealthcare.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Bikham<\/a> can help you make these important decisions by doing market research regarding which plans are offered and the percentage of the population for each plan.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Many healthcare practices start off with exceedingly small budgets. They have just enough money set aside to start&#8230;<\/p>\n","protected":false},"author":1,"featured_media":2381,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-credentialing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Determining the Right Payer Mix for Your Practice - Bikhamhealthcare :: Provider Resources<\/title>\n<meta name=\"description\" content=\"Here are a few key strategies to help you determine which payor mix might be best for your practice, and where to get help with the process.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bikhamhealthcare.com\/provider-resources\/the-right-payor-mix-for-your-practice\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Determining the Right Payer Mix for Your Practice - 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