WHY CHOOSE THE PATRIOT GROUP?
Where Billing Company Meets Law Firm
Unlike other billing companies, our clients reap the benefits of having an in-house legal department that will defend and represent their practice against audits and investigations. We prepare appeals of denied and under-reimbursed claims and defend in-network and out-of-network providers who find themselves in payer audits, special investigations or large recoupment cases.
Protect your practice from pitfalls
We know the rules of the game which means our team is well-versed on the loopholes, deceptive tactics and potential pitfalls that continue to plague our industry.
Well-versed in billing regulations
Our unique approach effectively combines best practices with our deep understanding of state and federal regulations, health plan litigation and compliance issues.
We Service In-Network and Out-Of-Network Providers
Whether you are in-network or out-of-network, we will ensure that your practice is prioritized and every service date and claim billed gets processed with maximum reimbursement.
We guarantee to diligently manage every claim to ensure fair and prompt payment.
We guarantee to appeal every denied or under-reimbursed claim that has merit.
We guarantee to file and pursue first and second level appeals via the necessary channels where warranted.
We guarantee to pursue prompt payment of uncovered services, deductibles and coinsurance from patients.
We guarantee to partner with you/your staff to craft policies and procedures that aim to increase revenue, collect funds quickly and keep your practice safe.
We guarantee to passionately advocate for you and serve the best interests of your patients and your practice.
We guarantee convenience and accessibility when it comes to being available to you, your staff and patients.
We guarantee to employ the “best in the business” staff to meet your needs.
Our ultimate guarantee is to keep you compliant with State and Federal laws.
0+YEARS OF EXPERIENCE
0%SUCCESSFUL APPEALS OF UNPAID AND NEGLECTED CLAIMS
OF DOLLARS SAVED FROM AUDIT DEFENSE
Where Billing Company Meets Law Firm
At our core, The Patriot Group is a Revenue Cycle Management Company – we combine the services and expertise of a medical billing company, a collections agency and a law firm specializing in maximizing revenue for you. Our staff are medical billing & coding professionals, paralegals & healthcare attorneys, compliance experts & collections specialists, all driven by a single vision—to make sure healthcare organizations like yours have the time, money, and insight you need to focus all your energy on your one core mission: caring for your patients’ health.
We are experts in revenue recovery. Our strategic framework and unique/creative workflow has allowed us to excel in many of the areas where traditional solutions continue to fail.
Our past-due receivables services are designed to increase cash, reduce write-offs and speed up collections. All activities are supervised by licensed attorneys.
As a part of our commitment to helping our clients and the industry, we regularly hold webinars and seminars to train and educate attorneys, healthcare practices and revenue cycle personnel.
TRAINING AND EDUCATION
Our experienced attorneys draft and file the appeals on behalf of our clients. We routinely reverse denials of all kinds including those based upon experimental procedures, those that lack medical necessity, bundled services, for both in-network and out-of-network medical claims.
Appeal of Denied
We are the leading experts on defense of payor audits, special investigation audits, recoupment and overpayment actions. We have saved our clients millions of dollars in defense of these type of payor audits.
Insurer Special Investigation Audits & Recoupment/Over-Payment Defense
testimonials | what our clients have to say
When we switched our billing and revenue cycle management to the Patriot Group, we had a significant increase in collections. Our Claims were filed timely, Patriot followed up on claims frequently and appealed no payments/low payments aggressively. The result is we now receive fair compensation for our services. The team is responsive to our requests and are great to work with.
Wayne Pratt, Founder, CEO
Arixona Sport & Spine Surgery Center, LLC
Tom Force and Patriot Group have been instrumental to the growth of my practice.
They are due advocates of both physicians and patients at a time when no such industry advocates can be found. Tom and his staff have been instrumental in increasing practice revenue without compromising patient volume.
The Patriot Group team possesses a profound understanding of how to navigate through the complexities of health insurance claims in order to get them paid quickly and at appropriate rates. His services are a great asset to the medical field. This has allowed me to spend more time focusing on patient care knowing he is getting the job done.
He has my highest recommendation.
James Bruno, MD
Tom, bar none, you offer the best service in the country.
As far as I know, yours is the only one-stop-shop for all issues related billing.
From 24/7 availability, advice and guidance on all legal issues regarding billing, and solid support from other experts I would recommend your group 1000x over.
I can't say enough positive things about The Patriot Group. Feel free to give out of my cell phone to any potential clients
Joseph Talarico, MD
Victor Surgical Care
Insurance Companies are big, powerful and have deep pockets. They often bully, intimidate and strong arm clinics into paying large sums of money as the result of one sided post payment audits.
However, Tom, The Patriot Group and their in-house law firm will not let the insurance companies push you around.
Having previously worked for an insurance company, Tom knows how they operate and understands what makes them tick. He is always on the job, easily accessible and makes me feel as if my case is the only one he's working on.
Their entire team is determined, persistent and thorough.
Thank goodness Tom Force, The Force Law Firm and The Patriot Group are on our side!
Dr. Raj Gupta, Owner
Garden State Spine & Pain Institute, LLC
Thomas Force, Esq., and the law offices at The Patriot Group defended my practice against a large insurance company special investigation audit. Tom is very experienced with insurance regulations and laws. He has personal relationships with most insurers. Tom was able to obtain a significant reduction of the audit demand, saving me hundreds of thousands of dollars in the process. If you are a healthcare provider under investigation by an insurer or otherwise in a special investigation audit, there is no better person to defend you than Tom and his company. He gets my highest recommendation.
Charlotte Ann Rhee, M.D. – Huntington Station, N.Y.
I've known Tom and his team now for several years and I couldn't recommend The Patriot Group anymore strongly.
Tom is super smart and knowledgeable about the insurance industry and all of their silly tactics. I have immense respect for him as both a person and professional.
Being in private practice for almost a decade, I know first-hand what the typical David vs Goliath battles we sometimes fight are often like with these large companies. I can't think of a better group I'd want there in the trenches next to us than Tom Force and his team.
James A Gohar, MD
Tom Force is a fantastic attorney and greatly assisted me with several insurance issues. He is a true expert in medical insurance law and is extremely knowledge when it comes to out-of-network claims. His staff is response and easy to work with. Our outcome was excellent and I am very satisfied with his representation. I truly believe his is in the doctor’s corner.
Neil J. Zemmel, MD, FACS
The Patriot Group is essential for out of network providers. Since engaging with The Patriot Group in 2015, our organization has become more successful and profitable through on-site staff training and webinars regarding out of network appeals and insurance processing insight. Utilizing The Patriot Group for both legal advice and representation has also garnered both knowledge and revenue. There really isn’t a better source to enhance your practice.
The Patriot Group is a full-service revenue recovery company serving hospitals, physicians, and other healthcare organizations nationwide. We are licensed and authorized to transact business in most states.