We Specialize in Maximizing Out-of-Network Reimbursements
Navigating the complex world of out-of-network reimbursements has become a daunting task for medical professionals, practice groups and large institutions, such as hospitals and laboratories. Insurance companies have become even more aggressive in claim denial or reduced reimbursement for out-of-network claims. Providers are increasingly burdened with the challenge and resources of knowing how to increase recovery of accounts receivables. That is where we help. At Cohen & Howard, we specialize in maximizing recovery on behalf of providers for out-of-network claims from the insurance companies. We achieve results by utilizing the appeals process where necessary and through litigation, regulatory complaint or external appeal where warranted.
We Focus on Quality, Not Quantity
We focus solely on under-reimbursed, wrongfully denied or delayed medical insurance claims by utilizing the appeal and legal process. Unlike billing companies that work on volume and make the bulk of their revenue from the initial claim submission stage, we work on quality. Every claim receives a detailed evaluation and strategic determination from the onset.
We Level The Playing Field Against Third Party Payors
Our number one goal is to level the playing field against the insurance companies and other third party payors. Our success is due to understanding the motivations of the insurance industry and utilizing a systematic, dogmatic approach of making targeted, relevant arguments at each level of appeal, pre-litigation and litigation, utilizing ERISA and State healthcare regulations as appropriate. Through these efforts, we have a great success in settling claims; whether through an additional payment, negotiation or ultimate settlement.
We Have A Vested Interest In The Best Outcome – We Don’t Get Paid Until You Get Paid
At Cohen and Howard, we believe the contingency fee structure is the truest motivator in advocating for our clients and that is our operating principle. To that end, every case is vetted by a senior member of the firm and assessed for viability. We are methodical in our approach and we don’t get paid unless you get paid. At Cohen and Howard, we are committed to fostering a true partnership and a shared interest in outcomes with our clients.