Holding health insurance companies accountable to pay the appropriate contracted claim amounts is vital to the longevity of all Healthcare Providers. You need a partner that offers a tactical approach to obtaining the full insurance reimbursement your organization is entitled to for services you rendered in good faith.
Saukus Group is partnered with a leading certified ERISA/PPACA claims recovery, appeal specialist and supporting legal counsel, who will advocate and fight for your right to proper payment.
How it’s done
Recover lost revenue due to recoupments or offsets.
Validation of medical record audit requests typically followed by refund demands.
A keen understanding of payer compliance requirements and relevant laws that make claim denials unenforceable and compel claims payment.
A look back of 3 years to recover claim denials others may deem as uncollectable
Identify payer violations in exercised Managed Medicare claim denials and offsets.
Denial Management and Advanced Appeal Training
