Provider Education & Advocacy
At Provider1st, our mission is to help healthcare providers thrive by reducing administrative burdens, optimizing revenue streams, and ensuring data security. We believe in supporting providers with the tools and knowledge they need to navigate the complexities of the healthcare industry and focus on what matters most—caring for patients.
Free Provider Consulting
Driving Provider Awareness
Stay Informed & Empowered
Unfair payment & contract practices from the payor
Healthcare providers often face unfair practices from payors that can impact their revenue and operational stability. Understanding these practices is crucial to protect your interests and ensure fair compensation.
Learn how to fight back when an insurer denies your healthcare claim
Get advice from experts on Value Based Care contracting
Learn common payor practices on underpayment to Physicians
Help cherry picking providers to exclude “high cost” providers
Consider Security & Privacy
Protecting provider data
In today’s digital landscape, protecting your practice's data is more important than ever. We offer assessments and solutions to ensure your data remains secure and your practice compliant.
Block Patient Recording Sharing from your EMR provider and protect your data
Address uneven bargain power with payors when contracting
Learn about Bias Provider Directories which prevent new patients for provider
Build Trust & Transparency
Lack of payor transparency
Navigating the opaque world of payor policies can be challenging. We help you build a clearer understanding of payor operations and ensure transparency in your interactions.
Nearly 15 percent of all claims submitted to private payers for reimbursement are initially denied, including many that were pre-approved to move forward through the prior authorization process.
Denied claims tended to be more prevalent for higher-cost treatments, with the average denial pegged to charges of $14,000 and up.
Over half (54.3%) of denials by private payers were ultimately overturned and the claims paid, but only after multiple, costly rounds of provider appeals.
The average cost incurred by providers fighting denials is $43.84 per claim – meaning that providers spend $19.7 billion a year just to adjudicate with payers.
Free Provider Consulting
Driving Provider Awareness
Stay Informed & Empowered
Unfair payment & contract practices from the payor
Healthcare providers often face unfair practices from payors that can impact their revenue and operational stability. Understanding these practices is crucial to protect your interests and ensure fair compensation.
Learn how to fight back when an insurer denies your healthcare claim
Get advice from experts on Value Based Care contracting
Learn common payor practices on underpayment to Physicians
Help cherry picking providers to exclude “high cost” providers
Consider Security & Privacy
Protecting provider data
In today’s digital landscape, protecting your practice's data is more important than ever. We offer assessments and solutions to ensure your data remains secure and your practice compliant.
Block Patient Recording Sharing from your EMR provider and protect your data
Address uneven bargain power with payors when contracting
Learn about Bias Provider Directories which prevent new patients for provider
Build Trust & Transparency
Lack of payor transparency
Navigating the opaque world of payor policies can be challenging. We help you build a clearer understanding of payor operations and ensure transparency in your interactions.
Nearly 15 percent of all claims submitted to private payers for reimbursement are initially denied, including many that were pre-approved to move forward through the prior authorization process.
Denied claims tended to be more prevalent for higher-cost treatments, with the average denial pegged to charges of $14,000 and up.
Over half (54.3%) of denials by private payers were ultimately overturned and the claims paid, but only after multiple, costly rounds of provider appeals.
The average cost incurred by providers fighting denials is $43.84 per claim – meaning that providers spend $19.7 billion a year just to adjudicate with payers.
