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Services
Regulators and insurance companies are becoming far more aggressive. Every doctor is now vulnerable: whether urban or rural, in a major medical center or solo practice, all practices are being scrutinized.
 Great patient outcomes are no longer enough. Last year hundreds of Washington's medical professionals faced compliance audits and reimbursement disputes that took a significant toll on their time, income, and emotions.
At Coopersmith Health Law Group, we want you to get back to your patients.
Our goal is to help you gain the security of comprehensive compliance and fully capture the revenue you have earned. We help our clients improve billing processes and establish relationships with insurance companies and regulators that are more productive. As a result, clients tell us they boost the profitability of their practices, increase time with their patients, and regain their sense of satisfaction in the practice of medicine.
Here is a representative sampling of our firm's services:
Resolving Claims Disputes
- Reversing wrongful denials and delays of claims,
- Improving reimbursement when insurers fail to pay claims at contracted or mandated rates,
- Reviewing claims denials to see if any uncontested denials should have been paid,
- Reducing accounts receivable by identifying and pursuing improperly delayed or denied claims.
Improving Billing Procedures
- Improving billing practices to facilitate a higher and faster rate of claims payments from insurance companies.
Negotiating Contracts
- Negotiating provider contracts that are more favorable to medical practices,
- Reviewing and monitoring existing contracts to ensure that carriers fulfill their obligations.
Defending Against Audits
- Defending hospitals and physicians against provider audits, which can threaten a practice's viability and cost providers huge sums in repayments.
Credentialing
- Seeking credentials for facilities and physicians who have been previously denied them or are seeking to join a provider network for the first time.
Improving Regulatory Compliance
- Improving compliance with a wide array of state and federal regulations.
Setting Up Ambulatory Surgery Centers
- Helping establish, credential, and negotiate fee schedules for ASCs.
Coding and Documentation Training
- Training medical professionals and staff on how to comply with insurance and regulatory obligations while maximizing revenue recovery.
Professional Discipline
- Defending physicians against unfair discipline and termination.
Advocacy
- Advising physician associations and practices on how to advocate for various professional concerns.
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While we can never guarantee an outcome, we can guarantee that we will work as ably and efficiently as we can on your behalf.
Jeff Coopersmith, President
Coopersmith Health Law Group
Former Chief Counsel and Director of Enforcement, Office of the Insurance Commissioner
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