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| Healthcare Revenue Recovery |
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Every year, millions of dollars
are written off on injury accounts that are in fact, collectible.
For instance, 10-15% of inpatient claims arising from motor
vehicle accidents or work-related injuries are wrongfully
denied, stalled, or underpaid.
Our Healthcare Revenue Recovery Practice consists primarily
of helping hospitals resolve high-balance injury accounts
involving complex legal and contractual issues. Our attorneys
leverage years of experience—both disputing and defending
insurance claims—to help assure maximum revenue recovery
in a minimum amount of time.
We offer several accounts receivable management programs customized
to meet each hospital’s specific needs.
Problem Accounts Program
Our problem accounts program focuses mainly on injury
claims that have been delayed (typically not paid within 90
days from discharge), denied, or underpaid. This program is
designed to resolve a hospital's most difficult high-balance
accounts through tailored case-specific analyses that challenge
denials and underpayments. When warranted, our experienced
teams can effectively pursue litigation of these claims.
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Details
Early-Intervention Program
Our early intervention program allows hospitals to place
large injury-related accounts from a particular financial
or payer class, including Motor Vehicle Accident and Workers’
Compensation accounts, immediately after billing or patient
discharge. This program is designed to reduce administrative
burdens, accelerate cash recovery, and maximize reimbursement
from each and every account.
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Details
Customized Projects
We handle a variety of one-off initiatives to respond to immediate
and particular hospital needs. These special projects can
range from resolving a backlog of accounts or combining multiple
claims with similar insurance patterns, to interpreting and
enforcing the terms of a specific contract.
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Problem
Accounts Program