ENABLING PRICE-EFFICIENT HEALTHCARE

Arbiter analyzes thousands of reimbursement changes and identifies how they impact your bottom line.

Your reimbursement rates are moving, assessing the impact can be challenging. Arbiter analyzes thousands of CPT and HCPCS reimbursement changes to identify how they impact your bottom line, and surfaces insights to improve your practice's financial health.

Arbiter helps you understand how changing fee schedules impact your bottom line

Medicare and commercial insurance rates change, sometimes substantially. Calculating how these rate changes impact your business takes significant time and effort.

Identify Meaningful Price Changes

Quickly surface the CPT code changes that matter most to your practice.

Improve Forecasting

Map your CPT utilization to prospective fee schedules to forecast impact.

Segment Across Service Lines

Identify where rates are rising and falling by specialty, location, or facility type.

Bring Clarity to Strategic Planning

Support annual and routine financial planning with data-driven insights.

See Revenue Changes by Facility Type

Understand how reimbursement shifts affect different care settings across your organization.

Revenue by Facility Type (2025 vs 2026)
2025 2026
$6.0M $4.0M $2.0M $0.0M
+2.1%
Office
+1.4%
Outpatient
-0.8%
Inpatient
+3.2%
ASC

How Arbiter Works

Arbiter maps your CPT utilization to prospective fee schedules to forecast impact, identify risks and opportunities, and optimize your financial and operational practices.

1
Day 1

Scoping

We meet with you to clarify your goals and specify the data needed to complete our analysis.

  • Define your objectives and priorities
  • Identify data requirements
  • Provide free market data reports from similar providers
2
7 Days or Less

Initial Analysis

Drag and drop your historical reimbursement data into the Arbiter platform.

  • Organization-wide revenue forecasts
  • Impact analysis of prospective price changes
  • Comprehensive dashboards by specialty, category, and location
3
Week 2

Quick Action

We review our findings with you, focused on identifying the most impactful risks and opportunities.

  • Recommend solutions
  • Scope implementation plans for adopted recommendations
4
Ongoing

Continuous Improvement

We stay with you as a long-term partner, helping you adapt to changing reimbursement landscapes.

  • Regular check-ins and updated analyses
  • Monitor new rate changes as they're announced
  • Refine strategies based on real-world results

Drill Down to the CPT Level

Identify exactly which codes are driving revenue changes, so you can take targeted action.

Top CPT Codes by Revenue Change
99213 Office o/p est low 20-29 min
+$75,810 +7.06%
95165 Antigen therapy services
+$31,016 +26.93%
99214 Office o/p est mod 30-39 min
+$14,635 +8.43%
99212 Office o/p est sf 10-19 min
+$13,788 +7.84%
17311 Mohs 1 stage h/n/hf/g
+$12,935 +0.54%

Outcomes

  • Streamlined strategic planning
  • Efficient financial planning and analysis
  • Improved financial and operational health of your business

We work hands-on with your data to find the best ways to optimize CPT coding in your organization.

Interested in learning more?

Get in Touch