Overview

You already did the work. You already delivered the care. So why isn't the money in your account? Every day, hospitals, physician groups, and specialty practices across the country write off millions of dollars in out-of-network and emergency claims - not because the money isn't owed, but because nobody told them the clock was running. The No Surprises Act created a federal legal right for healthcare providers to challenge insurance company underpayments on eligible claims through binding arbitration. Providers who file these disputes win more than 85 percent of the time. Most eligible claims are never filed at all. The Revenue You Already Earned is the book that changes that. Written for CFOs, revenue cycle leaders, practice administrators, and healthcare executives who don't have time for regulatory theory, this is a fast and direct education on one of the most overlooked financial opportunities in American healthcare today. You will learn: Exactly which out-of-network and emergency claims qualify for federal arbitration recovery Why insurance companies anchor payments at artificially low benchmarks and how to challenge them How the 30-business-day filing window works and what happens permanently when it closes Why your current billing team cannot solve this problem alone and what the right infrastructure looks like What recovery actually looks like for hospitals, anesthesiology groups, radiology practices, and surgical centers How organizations in New York, Florida, and California can recover up to three years of underpaid historical claims This isn't a book about theory. It's a book about money you've already earned sitting in your accounts receivable right now, and a proven legal process to recover it. MedRev Partners, through its partnership with Callagy Law and Callagy Recovery, has recovered close to two billion dollars for healthcare providers nationwide with a 92 percent arbitration success rate. The program operates on a complete contingency basis. You pay nothing until revenue is recovered on your behalf. The clock on your eligible claims is running. This book tells you exactly what to do about it.

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