Transforming Insurance Challenges into $97,000 Triumph
Meet Tamecca, a medical biller at Advanced Plastic Surgery of North Shore in Lake Success, NY, working alongside MSSNY member Dr. Mahira Tanovic, specializing in hand, plastics, and reconstructive surgeries. Dealing with insurance hurdles was a challenge as they faced non-payment or insufficient compensation for services rendered, with unexpected takebacks labeled overpayments. Thankfully, their experience changed when they connected with MSSNY’s Physician Payment and Practice. Heather Lopez, the VP of Physician Payment and Practice at MSSNY, became their go-to contact, showcasing remarkable expertise and dedication in resolving payment issues. Through the Physician Payment and Practice department’s relentless efforts, the practice recouped a staggering $91,000 from an unpaid claim and an inappropriate takeback. Tamecca encourages fellow providers struggling with insurance payment challenges to contact MSSNY’s Physician Payment and Practice for proactive assistance, emphasizing their unwavering commitment to resolving payment concerns.
Dear Medical Society of New York,
My name is Tamecca, and I am a one of the medical billers here at Advanced Plastic Surgery of North Shore, in Lake Success, NY, and I have the pleasure of working for Dr. Mahira Tanovic, who is phenomenal at her specialty of hand, plastics and reconstructive surgeries.
Our provider is out-of-network and honestly speaking we have hit numerous obstacles when it comes to a lot of the health insurance carriers because either they are not paying, paying the bare minimum for services rendered or they are taking money back and calling it an overpayment.
At one point, I was on the verge of losing hope when it came to seeking assistance in getting these payment matters resolved, but back in November of 2022 I was introduced to MSSNY, and most recently, I have had the pleasure of working with Heather Lopez. She was my point of contact and since I reached out to her, she has been nothing but extremely helpful.
Heather is the VP of Physician Payment and Practice with MSSNY, and she is very knowledgeable and gets the job done, and she won’t give up until the issue is resolved. Heather is effortless and because of her help our practice has been able to get back money that had been previously taken.
If you are a provider and are having issues with insurance companies, especially when it comes to payments, my suggestion for you is to reach out to Heather because she will get the ball rolling to make things happen for you. I look forward to working with her again because not only does she help, but she also honestly cares. Finally, I just want to say, Thank you, Heather! I truly do appreciate all that you are doing.
Best Regards,
Tamecca S.
