Contract Analysis & Renegotiation

You only pay us when your rates go up.

TVG reviews your payer contract, benchmarks every rate against Medicare, and negotiates directly with the payer on your behalf — start to finish, at no upfront cost.

If we don't secure an increase, you don't owe us anything. No retainers, no hourly billing, no invoice for effort — only for results.
Why This Works

Aligned incentives, start to finish.

Most provider contracts haven't been renegotiated in years — and payers count on that. We only succeed when you do, so our incentive is the same as yours from the very first conversation.

Outcome: Rates Increase
You win. We earn a fee.

You net substantially more than our fee. We're billed only once the increase is confirmed in writing by the payer.

Outcome: No Increase
You win. No invoice.

If we can't move the payer, the negotiation costs you nothing. We only get paid when you do.

Every Engagement
Zero financial risk.

There's no retainer, no hourly clock, and no fee for the analysis if you choose the negotiation bundle. You risk nothing by finding out what's on the table.

33%
Real-dollar decline in Medicare physician reimbursement since 2001 — while practice costs keep rising
73%
of physician contracts pay below the Medicare benchmark on at least one payer — most providers don't know which one
$200K
Average annual revenue left uncaptured per physician due to stale, unrenegotiated contracts
What's Included

Full analysis. Full negotiation. No shortcuts.

Every engagement gets the same depth of work we'd want if it were our own contract — the same benchmarking, the same clause review, and the same hands-on payer management.

  • CPT code-by-code benchmarkingCompared against current CMS Medicare fee schedules with GPCI adjustments applied for your geography.
  • Red-flag clause reviewMFN provisions, silent PPO exposure, unilateral amendment rights, and other language that limits future leverage.
  • Negotiation strategy & walk-away thresholdsPayer-specific leverage points and a tiered negotiation posture, built before we ever contact the payer.
  • Negotiation fully managed by TVGWe draft and send the negotiation letter and handle every payer communication through to executed agreement. You don't write an email or take a call.
Process

How it works.

Send us a contract and we handle everything through to a signed agreement.

01

Submit your contract

Email us one payer contract — a PDF is fine. No intake forms, no onboarding call required.

02

We analyze & report

Every clause and rate is reviewed against current Medicare benchmarks, with a written findings report before we contact the payer.

03

We negotiate

We draft the negotiation letter and manage all payer communications from first contact through final counter.

04

Executed agreement

We stay in the process until a signed agreement is in hand, or the payer's position is fully exhausted and documented.

Pricing

Simple, contingent pricing.

Choose a standalone written analysis, or let TVG take the contract all the way through negotiation — where you only pay if your rates actually increase.

Contract Analysis

A complete written review of your payer contract — fee schedule benchmarking, clause-by-clause language review, and a findings report with specific recommendations. Ideal if you want the full picture before deciding whether to renegotiate.

$150 per contract
Flat fee, billed upfront
  • Full contract & language review
  • Fee schedule comparison vs. Medicare/CMS
  • Written findings & recommendations
  • Underpayment identification
Get started →
Pay only if rates increase

Analysis + Negotiation

Everything in the analysis — plus TVG takes it all the way through to a signed amendment. We write every letter, field every payer response, and manage the full negotiation on your behalf.

$1,500 per payer
Billed only if your rates actually increase
  • Everything in Contract Analysis
  • Complete, fully managed payer negotiation
  • All communications handled by TVG
  • No increase, no invoice — every time
Get started →

Flat-fee · no hourly billing · no retainers · no surprises. Every engagement is scoped and priced upfront, so you always know exactly what a successful outcome will cost before we pick up the phone.

Find out what your practice has been leaving on the table.

Send us one contract. We'll tell you exactly where your rates stand against Medicare — and if you move forward with negotiation, you won't owe us a thing unless your rates go up.