Out-of-network (OON) health care providers experience numerous challenges that extend beyond the operating room. Navigating the dynamic healthcare landscape, in addition to modifying practice operations to comply with new and existing regulations under federal and state laws, can take your resources away from what matters most — providing high-quality patient care. The deny, delay, and deflect tactics used by insurance companies also make it harder to obtain a fair and timely reimbursement for your services.
These challenges will be increasing as practices begin to adjust to the many new requirements under the No Surprises Act, enacted for plans commencing January 1, 2022.
At Cohen Howard, we understand these challenges. As an experienced health care reimbursement law firm, we are focused solely on increasing revenue for OON providers from commercial insurance companies. We strive to ensure our clients are paid what is rightfully owed for services rendered. We understand the importance of a trusting provider-patient relationship and aim to indirectly help providers strengthen that bond by minimizing the financial impact of surgeries for patients.
The Cohen Howard team has extensive experience handling a wide range of claim reimbursement issues for providers. We collaborate with surgeons of all specialties: plastic and reconstructive, neurosurgery (brain, spine, nerve), general surgery, emergency and trauma, maxillofacial, vascular, transplant and thoracic surgery. We are also among the most accomplished lawyers for handling OON surprise billing matters including negotiations, arbitrations and settlements.
Our OON Billing Services
Cohen Howard is pleased to announce that we are expanding our revenue recovery services to include medical billing for commercial and government plans through our non-legal affiliate CH Revenue Management Solutions, LLC. With the addition of medical billing services, clients now have an industry-competitive, complete 360 revenue management solution, structured to simplify practices’ revenue cycle management and to reduce the number of vendors needed to handle the increasing complexity of insurance reimbursement.
Furthermore, with the No Surprises Act (NSA) enacted as of January of 2022, knowing the pathway of a claim will become imperative to optimize payment for claims subject to a complex set of Federal, State and payor rules and guidelines. By aligning pre-service authorization, medical billing and post-service claim management, providers will be strategically served and prepared to face these challenges.
When you select Cohen Howard as your health care reimbursement law firm, you’ll benefit from our comprehensive process that yields results.
We’ll start by conducting a strategic claim evaluation to assess the viability of your claim portfolio and determine the best course of action for each claim. We’ll then initiate the appeals process if applicable. If filing appeals does not result in a successful outcome, we’ll assign your case to pre-litigation or litigation to pursue the appropriate reimbursement on your behalf.
As skilled negotiators, we will also navigate the process of reaching a settlement with the insurance company, removing the burden from your staff. As experienced lawyers for OON surprise billing cases, we will also represent you if arbitration is necessary to resolve a reimbursement issue.
Our Team Includes the Best Lawyers for OON Surgeons
The Cohen Howard team consists of legal and medical industry professionals. We offer decades of combined experience in maximizing surgical claims reimbursements and have recovered tens of millions of dollars in lost revenue. We have expertise in commercial insurance, billing and coding, ERISA, state-specific health laws including surprise billing, and working with federal and state regulatory agencies that govern the health care industry.
We also have an exceptional track record of maximizing revenue for our clients, including reviving aged claims where you may have given services for which your practice is no longer pursuing payment.
Contact Us to Schedule a Free Consultation Today
Learn more about what makes Cohen Howard the leading choice among law firms representing OON providers. Contact us online for more information regarding our services today. To schedule a free initial consultation with one of our lawyers, call us at 732-747-5202.