Practice Areas

Areas Where We Excel

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Billing Compliance, Audits And Recoupment Attempts

Billing Compliance, Audits And Recoupment Attempts

Defense of Healthcare Practitioners Nationwide

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 the 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 The Patriot Group (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 much more. Our expertise is extremely valuable to Patriot Group billing clients in protecting them from health plan and regulator audits.

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other practice areas
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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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Day One Billing Services

The Patriot Group can step into an individual, mid-sized or large practice, hospital, ambulatory surgery center or other healthcare facility and provide fast, friendly and affordable billing options that combine each physician’s or hospital’s credit and collection policies with a patient-centric focus that results in higher recovery rates and increased patient satisfaction.

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Credentialing Services

Annual credentialing is vital for a doctor's practice. Practitioners and medical facilities unanimously view it as an administrative nightmare. By taking this responsibility away from clients, we free up staff time and meet vital deadlines.

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