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Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part II: Verification of Benefits — A Vital Process Re-Examined

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While most practices understand, the first step towards obtaining optimum reimbursement from an insurance company is to operationalize a consistent and timely verification process. Even with a process in place to verify benefits, however, it is not … [Read more...] about Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part II: Verification of Benefits — A Vital Process Re-Examined

Ninth Circuit Court Holds ER Providers Have Independent Legal Claim Against United Healthcare

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OON Emergency Providers Challenging United Healthcare Recently, in Emergency Group of Arizona Professional Corporation, et al., v. United Healthcare, Inc., 838 Fed. Appx. 299 (9th Cir. 2021) a group of out-of-network emergency medical providers … [Read more...] about Ninth Circuit Court Holds ER Providers Have Independent Legal Claim Against United Healthcare

Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part I: The All Powerful In-Network Exception

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An often-underutilized and misunderstood strategy for maximizing out-of-network provider reimbursements for surgical services is the ‘in-network’ or ‘gap’ exception that can be authorized by health insurance companies on a case by case basis. … [Read more...] about Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part I: The All Powerful In-Network Exception

Elective surgeries may have been ceased, but plastic surgeons are not resting amid coronavirus pandemic

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During these unprecedented times, many elective surgeries have been suspended to allow for COVID-19 patients to receive necessary care in their time of need. This has halted most plastic surgeries for the time being, but plastic surgeons are not … [Read more...] about Elective surgeries may have been ceased, but plastic surgeons are not resting amid coronavirus pandemic

NJ Senate Passes Bill To Provide Breast Cancer Patients With Information Related To Breast Reconstruction

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Yesterday, NJ legislators passed Bill S-3202, sponsored by Senator Lagana and Senator Gopal, in a unanimous vote.  The bill requires hospitals to provide breast cancer patients with information concerning reconstructive surgery.  It also prohibits … [Read more...] about NJ Senate Passes Bill To Provide Breast Cancer Patients With Information Related To Breast Reconstruction

Notable Cases

Class Action v. CIGNA Corporation

Corporation et al, Case No. 3:22-cv-00769-OAW, District of Connecticut (New Haven). Date Filed: 06/10/2022.

Lawsuit v. Multiplan, Inc.

et al, Case No. 1:21-cv-02421-LLS, Southern District of New York (Foley Square). Date filed: 03/19/2021.

Class Action v. UnitedHealth Group Incorporated

Incorporated et al, Case No. 1:22-cv-10756-VEC, Southern District of New York (Foley Square). Date Filed: 12/21/2022.

Lawsuit v. Multiplan, Inc.

Inc. et al, Case No. 1:20-cv-10685-LLS, Southern District of New York (Foley Square). Date filed: 12/18/2020.

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What our clients say!

"We gave Cohen Howard a very difficult hospital claim to work on. The claim had already been handled internally, by an outside lawyer and by a collection company. When Cohen Howard received the claim, it was nearly 3 years old and we had not received any payment. Cohen Howard was able to recover an $89,000 payment from the insurance company in less than 6 months’ time for us. Great job!"

Cappy Taylor

St. Charles Surgical Hospital and Center for Restorative Breast Surgery
New Orleans, LA

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"After a decade of practice I was hoping that a firm like Cohen Howard actually existed. They represent a group with the experience, deep knowledge, and tenacity to succeed in the complex world of medical reimbursements. Within this environment they have produced excellent financial results on a substantial number of my cases. Their professionalism and communication make for an unparalleled service."

Ross Cooperman, MD

Cooperman Plastics
Livingston, NJ

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"Cohen Howard is a truly unique group who has a profound understanding in the medical insurance industry. I am very pleased with Leslie Howard and her professionalism. Her staff is also very knowledgeable, detail oriented and quick to respond to all questions that arise. I am very impressed with their consistent ability to help increase my practice's out of network claims revenue. I would highly recommend them!"

Tzvi Small, MD, FACS

Bergen Plastic Surgery
Paramus, NJ

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"Leslie Howard and her staff have helped us find revenue on our out-network-claims that we never knew existed. Fantastic job! Whatever you're doing, it's working."

David L. Abramson, MD

Plastic, Reconstructive & Cosmetic Surgery
NY and NJ

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"Cohen Howard's team of professionals have been amazing partners in increasing our out-of-network claims revenue. Their professionalism and attention to detail are remarkable. We gave them some amazingly difficult claims to work on and they were able to successfully recover funds that we had basically written off. Thank you."

Sean Bidic, MD, MFA, FAAP, FACS

American Surgical Arts
Vineland, NJ

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"I have been working with Cohen Howard for years now and they have been able to retrieve several hundreds of thousands of lost revenue. They are extremely knowledgeable in the field and I recommend them with high praise!"

Steven Priolo, MD, FACS

Atlantic Shore Surgical Associates
Brick, NJ

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