Complex Claims

Wakefield has the resources to handle this service line effectively and, in an attorney-driven environment by geographic and state region, specializing in the related fee schedules and associated requirements.

Complex Claims can potentially make up 2-3% of a hospital’s revenue, but up to 5 times that percentage in terms of resources required to resolve them. Managed Care Organizations and other healthcare payer arrangements continue to increase in complexity while reducing reimbursements. Hospitals need to maximize available sources of revenue with fewer resources. Wakefield has the resources to handle this service line effectively and in a team-based, attorney-led environment by geographic and state region, specializing in the related fee schedules and associated requirements. If you struggle with getting your reimbursements back when dealing with the payers on any of the following, we can help!

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