Healthcare Provider Third-Party Reimbursement Claims & Lawsuits
Efficient, Successful Results, So You Can Focus on Your Health Care Practice.
If you are a medical facility, doctor, or other healthcare provider who bills and seeks third-party reimbursement from commercial health insurance companies like United Healthcare (Optum), the Blue Cross Blue Shield Companies, Aetna, and CIGNA, for example, you are most likely familiar with their audit, review, and reimbursement process. Most healthcare providers who have encountered those processes had a very unpleasant experience.
The post-payment review process by these insurance companies is an extraordinarily unpleasant surprise to healthcare providers and appears to be—most likely is—a corporate-engineered money grab. When the healthcare services you and your practice have been providing, and were paid for, are now being questioned after the fact, it is angering, stressful, and unnerving. In addition, these health insurance companies often stop paying any of your reimbursement claims during the process, or put you on a review protocol that makes it extraordinarily difficult to get your valid claims reimbursed and to operate your business from an ongoing cash flow and profitability perspective.
At Schwartz, Conroy & Hack, we have been managing our clients’ post-payment review audit and reimbursement claims for many years, successfully resolving them, and typically without the need for a lawsuit. Our success comes in understanding how your healthcare practice is managed, how your services are delivered, and understanding the details concerning your billing, collection, and documentation process. We have successfully handled many of these claims and are fully prepared to litigate if a lawsuit is necessary.
Our successful representation of your healthcare practice comes from our understanding of your process and the insurance company’s process. This allows us to achieve an efficient and successful result for you, so you can focus on your health care practice.
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