We Specialize in Maximizing Out of Network Reimbursements
Navigating the complex world of out of network reimbursements has become a daunting task for medical professionals, practice groups and large institutions, such as hospitals and laboratories. Insurance companies have become even more aggressive in claim denial or reduced reimbursement for out of network claims. Providers are increasingly burdened with the challenge and resources of knowing how to increase recovery of accounts receivables. That is where we help. At Howard Healthcare Group, we specialize in maximizing recovery on behalf of providers for out of network claims from the insurance companies by utilizing the appeals process where necessary and through litigation, regulatory complaint or external appeal where warranted. We put cash back in your pocket for denied out of network claims. THIS IS ALL WE DO.
We Focus on Quality, Not Quantity
We focus solely on under-reimbursed or wrongfully denied and delayed insurance claims through the payers internal or external appeals process. Unlike billing companies that work on volume and make the bulk of their revenue from the initial claim submission stage, we work on quality. Every claim receives a detailed evaluation and strategic determination on an ongoing basis.
We Collaborate With Great Minds to Achieve Great Results
Howard Healthcare Group is a unique company, in that we have highly skilled professionals with legal, billing, coding, and insurance company backgrounds who collaborate constantly to evolve our strategies to successfully fight for additional reimbursements. Our principal, an attorney, has learned and developed a unique approach to appeal denials after working several years as lead in-house counsel for a large plastic and reconstructive medical group and ambulatory surgery center. Because of our experience, we have successfully collected millions of dollars on new and resurrected claims that have been written off as bad debt by many of our clients.
We Level The Playing Field Against Third Party Payers
Our number one goal is to level the playing field against the insurance companies and other third party payers. Our success is due to understanding the motivations of the insurance industry and utilizing a systematic, dogmatic approach of making targeted, relevant arguments at each level of appeal, utilizing ERISA and State healthcare regulations as appropriate. Through these efforts, we have attained great success in settling claims; whether through an additional payment, negotiation or ultimate settlement.
We Have A Vested Interest In The Best Outcome – We Don’t Get Paid Until You Get Paid
We structure our fees based on your needs and have many options available to meet your objectives. We can either purchase your pool of claims outright for an agreed upon amount or we can work strictly on a contingency basis. In all cases, there is NO COST to you in retaining our company to recover monies that are due to you for services provided. We get paid only if you get paid. There is no cost to your business in working with us- it’s risk free. The only thing you lose is the chance to put cash back in your business. Call us today or complete the online application below and we will immediately respond to your inquiry.
“We are devoted solely to increasing out of network reimbursements for providers.”
Our Track Record
Our Results Speak For Themselves
|Provider*||Amount Reimbursed**||Period of Service|
* Represents a sampling of clients.
** Represents payments collected on denied or under-reimbursement out of network claims.
“Solving the Out of Network Reimbursement Puzzle”
Our Core Principles
- We fight hard for the out of network revenue you worked so hard to earn and insurance companies fight hard to keep.
- We resurrect “old claims” that have been written off where we see value.
- We level the playing field against third party payers with our vast knowledge and expertise.
- We are available 24/7, 365 days a year to address your questions.
- We let you focus on patient care – we focus on reimbursement of these claims.
- We put money back in your business & improve your cash flow.
- We don’t get paid unless you get paid.
- We know the ‘inside playbook’ of how the insurance companies operate to delay, burden and wear down providers and utilize this knowledge to maximize dollars for you.
“We understand the inner workings of the payers and use this knowledge to help you recover.”
Here is what our clients are saying:
“Howard Healthcare Group has been assisting my practice with both provider and Ambulatory Surgical Center appeals. They have been successful in obtaining payments on what we considered to be dead claims. Howard Healthcare is a valuable partner in our revenue cycle. Great work!”
– Michael K. Obeng, MD, FACS
Miko Plastic Surgery & Miko Surgery Center Beverly Hills, CA
“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.”
– Dr. David L. Abramson,
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”
– Dr. Tzvi Small,
The Valley Hospital
“We have collected millions in lost revenue for out of network providers.”
Leslie Howard, Esq. is a founding member of Howard HealthCare Group, a New Jersey based company representing providers, such as surgeons, medical groups, ambulatory surgery centers and hospitals in driving up their reimbursement for out of network claims from the insurance companies by utilizing the appeals process afforded under every health insurance plan. 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 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.
Our team consists of highly skilled professionals with legal, billing, coding and insurance company backgrounds.
“We are available 24/7, 365 days a year to address your questions.”
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