Practice Areas

Areas Where We Excel

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Billing Compliance, Audits And Recoupment Attempts

Billing Compliance, Audits And Recoupment Attempts

Thomas Force personally defends hundreds of healthcare practitioners annually who are being harassed by health care fraud audit and special investigation departments. The audits defended usually include a recoupment demand for return of funds due to some perceived overpayment. Some of these recoupment requests are in the seven-figure range. The types of audits and investigations successfully defended by Mr. Force (resulting in no refund of revenue to the health plan) include out-of-network investigations for failing to balance bill patients, failing to properly document in patient charts support for procedures billed, excessive charges and many more. This expertise is extremely valuable to Patriot Group billing clients in protecting them from health plan and regulator audits.

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Collection of Patient Balances

The Patriot Group’s is a licensed debt collector in over a dozens states. Its collection agency services provide healthcare organizations advanced technology and customer service that ensures patients have a clear understanding of their financial obligations to the healthcare practitioners that provide them care.

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Insurance Claims And Appeals

All too often, insurance companies find ways to avoid or delay payment for legitimate medical claims. As a result, physicians, and other health care professionals often write off otherwise collectable debt rather than wage a long and expensive battle to appeal the insurance company’s decision.

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Past-Due Receivables Services

Every health care organization depends upon the timely collection of accounts receivables to expedite cash flow and maintain good financial health.

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INTERESTED IN LEARNING HOW WE CAN HELP? CALL US TODAY: 631.870.4040