Comprehensive Revenue Recovery for Out-of-Network Providers
Howard Healthcare Group’s Comprehensive Revenue Recovery Team specializes in under-reimbursed, outright denied, written-off, untimely, and aged out-of-network commercial surgical claims to maximize client revenue by tapping into an otherwise overlooked claim vertical. Reviving claims that have been written-off as far back as 6 years* is a core competency that sets us apart from any other revenue recovery provider. We work seamlessly with your revenue recovery and billing operations to pursue additional revenue after internal staff or third-party billers have exhausted their efforts. In short, we provide the bandwidth needed to aggressively and consistently challenge insurance companies to obtain payment.
*varies by state
Founded by Attorneys, Managed by Insurance Experts
Founded by commercial insurance experts and ERISA attorneys’ with extensive experience in the out-of-network space, we evaluate and manage commercial surgical claims through resolution, employ sophisticated medical professionals, and leverage a comprehensive network of attorneys that apply pressure against the insurance payors to secure the revenue rightfully owed to our clients. Our team is able to optimize the true value of a claim by capitalizing on our knowledge of the patterns, practices and technicalities of the commercial health insurance industry.
Maximize Resources Using Our Pre-Certification and Negotiation Services
Howard Healthcare Group offers dedicated resources to obtain Authorization and Pre-Payment Negotiations. Instituting best practice for pre-certifications not only minimizes the drain on a practice’s resources but is often a critical step necessary to secure leverage with insurance companies for appealing claims. Howard Healthcare Group’s highly experienced staff is able to obtain pre-certifications and single case agreements on behalf of clients freeing up practices to work on other key tasks. Additionally, our staff is highly skilled at negotiating with insurers to seek out settlements for out-of-network claims after services are rendered but before the insurance company makes a payment.
The Process is Simple. It’s Found Money.
Simply submit to us, an account receivables report of your under-reimbursed, outright denied, written-off, untimely and aged claims and we will identify the claims that are potentially viable for additional payments. All viable claims can be uploaded directly to our HIPAA-compliant portal for further review. We will perform a detailed evaluation for each claim and make a strategic determination and implement the best course of action. When necessary, we employ law firms, at no cost to you, from our legal network to pursue pre-litigation and litigation settlements. The law firms we engage have long and successful track records utilizing substantive medical and legal arguments to obtain additional payments from claims. All this – risk free.
Mutually Vested in Outcomes — Contingency Only
Finding revenue on under-reimbursed, outright denied, written-off, untimely and aged out-of-network commercial insurance claims is completely risk-free as we work solely on contingency. We are paid only if we can secure a successful outcome on your claims. There is absolutely no upfront payment required to utilize our services, only the opportunity to maximize your revenue. Our contingency fee structure promotes a mutually vested interest in successful outcomes. Call us today or submit an online request and we will immediately respond to your inquiry.
HHG Recruitment Service Finds Talented Professionals for You
Finding the right candidate for a variety of healthcare positions can be a stress-free process when you utilize our recruitment services. With an in-depth understanding of physician practice operations and payor policies from years of experience in the healthcare reimbursement field, we effectively screen candidates for practices that are in-network, out-of-network, or a combination thereof. We combine this deep industry and functional knowledge with a tailored search and assessment process to help you find the most qualified candidates for your company.
“We are dedicated solely to increasing out-of-network reimbursements for providers.”
Our Revenue Recovery Track Record
Our Results: A Client Sampling
|Provider*||Amount Reimbursed**||Period of Service|
* Represents a sampling of clients.
** Represents payments collected on denied or under-reimbursement out-of-network claims.
“We understand the inner workings of the payers and use this knowledge to help you recover.”
“We gave Howard Healthcare Group a very difficult hospital claim to work on. This claim had already been handled internally, by an outside lawyer and by a collection company. When Howard Healthcare received the claim, it was nearly 3 years old and we had not received any payment. Howard Healthcare was able to recover a satisfactory payment from the insurance company in less than 6 months’ time for us. Looking forward to working with them in the future. Great job! “
– Cappy Taylor, Director of Financial Services
St. Charles Surgical Hospital & The Center for Restorative Breast Surgery New Orleans, LA
“We gave Leslie some amazingly difficult claims to work on. Their success rate has been incredible so far. We never thought we would see success on these claims. Great work!”
– David Kirschenbaum, MD,
Clinical Assistant Professor of Orthopaedic Surgery at Robert Wood Johnson University Hospital
“Leslie 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
“Leslie Howard and her staff has helped us find revenue on our out-of-network claims that we never knew existed. Fantastic job! Whatever you’re doing, it’s working.”
– David L. Abramson, MD
Chairman of the Division of Plastic Surgery at the State University of New York, Acting Associate Chief of Surgical Services at Englewood Hospital and Medical Center.
“Leslie Howard and her team are truly a unique group who have 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 practices out-of-network claims revenue. I would highly recommend them! Thank you.”
– Tzvi Small, MD
The Valley Hospital
“We have collected millions in lost revenue for out-of-network providers.”
Leslie Howard, Esq. is a Founding Member and Chief Executive Officer of Howard Healthcare Group, a New Jersey–based company representing providers nationwide, such as surgeons, medical groups, and hospital-based physicians in driving up their reimbursement for under-reimbursed, outright denied, written-off, untimely, and aged out-of-network surgical claims from insurance companies by utilizing post appeal actions tailored for each claim. Leslie Howard’s legal experience and intricate understanding of ERISA and state healthcare regulations, plus her personal experience and knowledge of the ground-up inner workings of medical reimbursement have led to much of her success. Ms. Howard learned and developed this unique approach to utilizing appeals and post appeal actions to increase out-of-network claim reimbursements after working as in-house counsel for a large plastic and reconstructive medical group and ambulatory surgery center. Leslie Howard received her law degree from Fordham University in 1992.
“We work solely on contingency.”
Contact us here for more information regarding our recent successes or to schedule a claims evaluation.
Howard Healthcare Group
Phone: (848) 456-8200 | Fax: (732) 268-8362
New Jersey Office
766 Shrewsbury Ave
Tinton Falls, NJ 07724