Despite patients having insurance coverage, payment isn't guaranteed.

Insurance denials and mechanisms to limit payment are increasing and often overlooked when we talk about health insurance coverage or agreed-upon reimbursement rates.

Insurers' denial of payment was once reserved for a small portion of expensive treatments but is now a common occurrence for ordinary medical care. Denials are exacerbated by payers' use of artificial intelligence, resulting in faster and less reasoned decisions that often lack clear explanations. 

One analysis found about 1/3 of inpatient and outpatient claims submitted by providers to commercial payers went unpaid for more than 90 days throughout the first three months of 2023. In some cases, payment can take years!

The underpayment recovery platform for hospitals will go back two years and clients can expect to see the recovered funds in their accounts within 2 months!!

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Healthcare workers in search of new jobs may want to head to Houston.

Glassdoor’s 2024 Best Places to Work list, which was released in January and comprises 100 companies across a variety of industries, included just three hospitals—MD Anderson Cancer Center, Houston Methodist, and Texas Children’s—and they’re all located in Houston’s Texas Medical Center. 

Experts say the combination of world-class medical facilities and competitive employee benefits make Houston one of the best cities for healthcare professionals to live in and work. 

Larry G. Potter

Senior Underpayment Recovery Advisor

Lgpotter33@gmail.com

Text: 1-847-872-4047

Large Accounts Elephant Hunting

 

In sales, the term "elephant hunting" is typically reserved for a salesperson that ONLY goes after HUGE deals.

Growing a business is a challenge and some dream of that one "Elephant" client that will make it all worthwhile. However, we need to ask the question:

Does it make sense for you to direct all of your attention and energy on a few big accounts? 

- OR -

Does it seem like a better use of your time, energy and attention to go after multiple small to medium sized accounts to expand your business?

In our experience, when you are constantly hunting elephants what you find is that you end up with nothing at all, except many missed opportunities.  

Elephants have their place, and if you are allowing yourself to NOT throw everything into hunting for the one big deal, you will save yourself immeasurable frustration, be more motivating to your team, put a number of wins on the board and substantially reduce risk to your business.

Larry Potter

Senior Advisor

https://vimeo.com/188848157?from=outro-embed

Lgpotter33@gmail.com