Founding Partner, Chief Sales Officer – Medical Cost Containment - Workers Compensation
CurrentWHAT WE DO: Reliant Health Partners reduces your costs and increases your bottom line by offering medical bill repricing for workers compensation claims and out-of-network group health medical coverage. We use Fair Market Pricing to control medical costs on all service types and achieve savings beyond State Workers’ Compensation Fee Schedules. Our model is based on what the provider actually receives in reimbursement as a full and final payment rather than what they charge.We use medical provider and industry data and compare that to provider cost information to determine pricing. We openly share this information with the provider, comparing our pricing to numerous benchmarks recognized by the provider. Good provider relations are important to our client and to us.* We guarantee 48-hour turnaround on all claims* Our appeal rate is less than 1% on Healthcare claims and 2% on Workers’ Compensation claims* We charge a percentage only on the dollars we save* We don’t require a long-term contract* Our pricing is based upon a broad base of solid data, not Medicare alone, like most “Reference Base Pricing” programs* We compare our pricing to facility cost ratios to assure a fair price for the provider, greatly reducing appeals* RHP handles all Provider Appeals to avoid noise and disruption for the TPA and the Self-Insured Client and assure positive Provider RelationsWe also offer specialized services including Recovery Services, Medicare-Based Repricing, Lien Negotiations, Attorney Services, Jones Act, Single Case Submissions, and In-Network Audit.MY ROLE: I work with potential clients to understand their situation and their issues and share how RHP can help them.