After Renee Berman was diagnosed with a cancerous tumor on her liver, five doctors, all of which recommended immediate surgery, examined her. A sixth doctor denied Renee’s operation. This "sixth" doctor never even examined Renee. This doctor was the head of the HMO’s utilization review committee. She died.
When the insurer possesses power so substantial that business practices or payment decisions significantly impairs the ability of an ordinary, competent provider to practice medicine or a medical specialty in a particular geographic area, it affects an important, substantial economic and public interest.
ERN Enterprises, the developer of REVAssurance, offers Emergency Claims Resolution Services to its clients through the Reimbursement Advocacy Firm (TRAF). Our experienced consultants will carefully review all account placements for additional case and statutory law, which supports your appeal position. We will pursue the carrier and attempt to locate any other potential payer on your problematic claims.
TRAF is the POWER OF VOICE for providers. This revolutionary division was created at the increasing demand of clients who wanted a fresh alternative to the conventional collection agency that lacks the expertise in using statutory codes that govern the healthcare delivery process.
This division is exclusively designed for CLIENTS ONLY, to assist us track non-compliant payers, provide resolutions (for reform laws) to State Legislators and report payment patterns or issues to your contracting/legal department for renegotiating contracts.
We offer Early Out Collection Programs, Compliance Audits on Problematic Payers, Letter Campaigns, Judicial Review and a Legislative Voice in the Healthcare Reform arena.
On successfully appealed claims, we will provide a copy of the final letter (for an additional fee) used to overturn the denial so you may add it to your REVAssurance library for future use. Our consulting fees are based upon any amount recovered on placed accounts; there is no cost to you if we are unable to successfully recover benefits.
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