Tailored strategies to maximize physician reimbursement from commercial health insurers

Redefine your provider-payer relationships and transform the way you work with payers. This is the exact blueprint you need to solve the health insurance puzzle. We customize solutions that address the end-to-end provider experience, empowering your practice to master claim denial management, improve payer relations, & successfully navigate payer changes.

find the leakage in your provider reimbursement

Provider Revenue Assessment Quiz

Yes, Show ME

“Eye Opening”

Everyday my team juggles patient care & office responsibilities with calling health insurance companies. Now I understand why that wasn’t working.
Terri McCall

MAXIMIZE:

Reimbursement
Resources
Performance
Payer Revenue
Time
Productivity
Results
  • Thriving practice achieving annual growth
  • Data-driven results
  • Building a team of highly skilled, in demand professionals

You can do this in your sleep.

But health insurance A/R has your days looking like

  • Constantly frazzled and stuck, can’t stay organized, tired of the daily follow up and don’t know how to get past this
  • You’re on hold and you feel your blood pressure rising so you grab for an aspirin to prevent a full blown headache
  • You can’t approve vacation because you don’t want the inventory to age further
  • Every quarter you entertain whether you should
  • Hire more billers
  • Outsource denial management to a vendor
  • Send your spreadsheet with 3 years of outstanding claim denials and let the payer figure it out
  • You’ve explained your issue 7 times, escalated to 4 different people, and after at least 1 hour they all have to “research it and get back to you”
Let’s flip the script

Get ready to master provider-payer relations & confidently know you’re not leaving money on the table — Using 90% Strategy + 10% Effort

Whether you’re a solo practice or a large health system, you can stop chasing reimbursements and spending hours trying to get 1 win.

allow me to introduce myself

Hi, I’m Tressa

Payer relations expert & creator of MD Office Insights. Practice managers and healthcare administrators call me when they are drowning in claim denials and at their wits end with health insurance companies. Here’s why…

I sat on the on the other side of the table.

In a career spanning 2 decades, I had a front row seat to ALL the provider challenges – at the Operations, Network, and C-Suite levels.

Imagine having me in your back pocket putting all the pieces together

You will –

  • Simplify the A/R recovery process using a reliable, repeatable, proven system that will move the needle on your endless list of open concerns with payers
  • Get actual resolution, not just a response
  • Understand the big picture and translate it into what’s relevant for your practice, not the entire network
learn more of my story

“This was a game changer”

We’re contracted with 22 health plans. We simply don’t have the staff to follow up on the same denials multiple times – for every payer. Today, we easily manage the volume, save time, and write off significantly less than we used to.
K. Johnson

If you answer yes to any of the following, let’s talk

  • Your claim denial rate is getting higher each year, no matter how many new people or systems you throw at it
  • You have outstanding A/R that’s aged at least 1 year that you’ve been trying to get resolved for months
  • You know your existing process doesn’t work, but you don’t know exactly where it’s broken
  • You’re ready for a dependable, rinse and repeat system that will maximize provider reimbursement using the least amount of effort and resources
  • You want to see growth in your provider reimbursement NOW. Not engage in meeting after meeting (to discuss more meetings) to develop a high level plan you’ll potentially execute next year.
Here’s how I work with innovative, high-performing healthcare leaders

choose your solution…

Payer Insights On Demand

Designed for the results-driven manager that wants to address payer concerns in real-time. Get quick, effective, focused solutions when you need them & without a massive time commitment.

i needed this yesterday! tell me more

180° Insights

The complete solution that puts you in the driver’s seat, allowing you to maximize reimbursement on cruise control. Discover how to expertly navigate the challenges in the provider-payer experience.

i’m ready to master payer relations
A Little more about me

First baseball game

In college, a friend and I were visiting one of our mentors at his home. A visitor showed up while we were there and introduced himself as Henry. After briefly speaking with our host, he asked if we liked baseball and offered us tickets. I didn’t realize that Mr. Henry was actually the baseball legend “Hammerin” Hank Aaron until we got to the stadium and saw his statue in front.

Dream Job (x2?)

My 10 year old self wanted to be an attorney by day and a WWE professional wrestler by night. Looking back, I think this was my own version of a superhero. While I chose a different career path, I can clearly see why these professions appealed to me. Both require an extreme amount of determination & drive to succeed, a winning mentality, & doesn’t accept that something can’t be done.

Best Adventure

Dogsledding in Minnesota, 12 miles from Canada. This trip was the polar opposite of my idea of vacation. I’m cold in anything below 70°, we got up before the sun to feed & prep the dogs for the day’s journey, I came home sore (going way too fast through the woods & we hit a tree). But I loved every minute of it!

Favorite Show

I can relate any conversation back to a Golden Girls episode. Even through I have been watching for 30+ years and can quote every show, I still laugh at the punchlines as if it’s my first time seeing it. And yes, I am very irritated when October rolls around and Hallmark Channel decides to run Christmas movies 24/7 until January.
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