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Our Clients



From assisting providers in disputes with payors to creating customized compliant programs and policies, we help clients manage their assets and enhance their profitability.

Specifically, we can:

  • conduct audits of facilities or practices to identify areas of deficiency or vulnerability with respect to reimbursement issues
  • recommend policies and best practices to streamline the reimbursement processes, control costs and keep up with changing regulations
  • evaluate and develop explanation-of-benefits strategies using ERISA/PPACA compliant appeals
  • perform onsite training or remote assistance and support.

We regularly consult with:

  • medical facilities: ambulatory surgery centers, clinics, hospitals, professional practices
  • physicians and surgeons
  • durable medical equipment companies
  • medical labs
  • health plan administrators (self- and fully insured)
  • billing organizations (third party entities and in-house billing staff).

  • Self-Insured Plan TPA Recoupments

    Is your third-party administrator holding out on you? With more than $19 billion in anti-fraud and overpayment recoupments in the private sector, there’s a good likelihood your TPA has not restored or refunded the full amount to your ERISA plan as required. Our innovative Fiduciary Overpayment Recovery Specialist and Fiduciary Overpayment Recovery Contractor (FORC) programs can help self-insured plans like yours recover assets and protect revenue.

    Find out how you can recover self-insured plan assets here.