MGMA Rates

MGMA Rates Powered by HexIQ

You know how much you're worth.  Now get the data to prove it.

As an MGMA member you have access to all negotiated rate information for established patient visits (code 99214). Enter your NPIs, EINs, and TINs to see how your rates benchmark against other similar providers in your area. 

With your MGMA Rates member benefit you can: 

• Ensure the rates published by the payers in your state match your records for code 99214
• Benchmark your reimbursement rates against those of similar practices and providers in your local area
• Build a data-driven business case for your next rate renegotiation

 
Interested in viewing data for other codes? With HexIQ you can get access to reimbursement data for every payer, code, state, and NPI. Your MGMA membership gets you 20% off when purchasing additional codes. 

MGMA Members: Claim your member benefit now

FAQs:

Q: What is MGMA Rates  
A: MGMA Rates is a member benefit that gives you access to all negotiated rate data for established patient office visits (code 99214), as well as a 20% discount to purchase additional codes of interest. You can use this data to benchmark your group's rate and see if it is time to renegotiate for higher reimbursement. 

Q: Where does the negotiated rate data come from?
A: The Transparency in Coverage Rule that went into enforcement in July of 2022 makes it possible to peek behind the curtain to see any negotiated rate for any reimbursement code between any commercial payer and provider in any service setting. HexIQ distills this game-changing data set into a decision-maker friendly format, so you can answer your team’s most pressing questions by interrogating the latest available rate data every month.

Q: What does your MGMA membership get you?
A: As an MGMA member you have access to all negotiated rate information for established patient visits (code 99214). Enter your NPIs, EINs, and TINs to see how your rates benchmark against other similar providers in your area.

You also get a 20% discount on all additional codes you purchase.

Q: What happens when I claim my member benefit?
A: By filling out the form to claim your member benefit you immediately get to see all negotiated rates for code 99214 related to your specialty and area. If you provide additional NPIs or EINs of interest the report will update to show you the benchmark report with how your rates compare to other groups in your area. 

After signing up you will also get access to my.pulse.app, where you can download all the underlying data that goes into the reports. You can also purchase more codes with your MGMA member discount code through the HexIQ website. 

Q: Why should I participate?
A: Claiming your benchmark report is a benefit that is included with your MGMA membership with no additional costs to you. Having access to this data gives you unprecedented leverage that you can use to negotiate smarter and get the best rates for your group. 

Learn how powerful the data can be by claiming your MGMA Rates benchmark report. Use your discount code to purchase access to additional codes to help negotiate smarter across the board.