Denials Management & Dispute Resolution
Our firm regularly assists provider clients with maximizing recovery of underpaid and denied healthcare claims. We challenge the implementation and application of health plan payment policies. We administratively appeal and contest reimbursement issues that create large scale underpayment trends for both in-network and out-of-network providers.
We leverage our sophisticated managed care expertise and industry relationships to successfully resolve complex denials, underpayment trends, plan audits and overpayments, without resorting to litigation or arbitration. Our denials management team has prevailed and eliminated overpayment demands, while assisting clients in defending against health plan audits and recoupment activity.
Additionally, we have expertise challenging government denials and have pursued administrative appeals for Medicare, Medicaid, and Tricare claims.