Payment & Practice: Turning Complex Payer Challenges Into $38 Million Recovered Revenue
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- Key Point: MSSNY’s Payment and Practice team has recovered $38 million since 2021, including $10.8 million so far in 2026, directly returning revenue to physician practices.
- Why It Matters: Payer denials, recoupments, and network disputes continue to consume valuable physician time and threaten financial sustainability.
- Impact on Practice: Real physician experiences show successful resolution of stalled claims, recovered payments, and prevention of costly recoupments.
- What MSSNY is Doing: MSSNY provides hands-on payer advocacy, regulatory expertise, and persistent follow-through on complex claims.
New York physicians are already navigating staffing shortages, regulatory demands, and growing administrative burdens. Payer disputes can be among the most costly and frustrating challenges facing a practice. Denied claims, delayed payments, and unexpected recoupments do more than create paperwork. They threaten financial stability and divert time away from patient care. MSSNY’s Payment and Practice team exists to serve as a direct advocate for physicians when payer challenges become difficult to resolve alone. The results speak clearly. Since 2021, MSSNY’s Payment and Practice team has helped recover $38 million for physician practices across New York, including $10.8 million so far in 2026 alone. These recovered funds represent real revenue returned to practices that might otherwise have been lost—helping physicians maintain operations, retain staff, and continue delivering care to their patients.
Physicians and practice teams across New York consistently share powerful experiences that reflect the real-world impact of this service.
“After an extended and frustrating effort to resolve an insurance network issue on my own, I had nearly exhausted all options without progress. Heather Lopez brought a level of professionalism, persistence, and strategic insight that immediately changed the trajectory. She was able to open doors that had remained closed for a long time and navigated the process with clarity and purpose. Her ability to advocate effectively, while maintaining a thoughtful and composed approach, ultimately led to a successful outcome. What stands out most is her genuine commitment to supporting physicians and her willingness to go the extra mile. I would recommend her without hesitation to anyone dealing with complex payer-related challenges.” — Ankur Shah, MD
“I cannot speak of Heather Lopez highly enough. She has been an exceptional advocate in dealing with health insurance companies—knowledgeable, persistent, and incredibly effective. She is always responsive, truly cares, and consistently goes above and beyond to help. Her guidance and support makes a difficult process much easier.” — David Volpi, MD
“I came across Heather Lopez from a colleague of mine, and I’m truly grateful that I did. Her professionalism and knowledge of billing and ethics are unmatched. She is the true definition of grace. Without the help of her and the MSSNY team, we would be sitting and waiting for IDR money that could never be recovered. With the help of Heather and her team, we have been able to recover monies that were almost near impossible. Not only has she assisted with recovery, but she has been able to stop recoups of payments and retrieve monies on claims that we thought were lost. I give my highest recommendation for anyone who is in a similar situation and is looking for someone to be an advocate for their medical practice; you will not be disappointed. As we continue to work with Heather and MSSNY, I know we will have continued success, and we look forward to building a stronger working relationship in the near future.” — Samantha Romano-Craig, Biller for Dr. Stelios Koutsoumbelis
“Heather consistently demonstrates a high level of professionalism, knowledge, and dedication in her role. Her responsiveness is exceptional—she addresses inquiries promptly and ensures that no issue goes unresolved. What sets her apart is her strong ability to follow up and follow through; once something is placed in her hands, I have complete confidence that it will be handled thoroughly and efficiently. She is an invaluable resource to MSSNY members, including many of my clients, and makes navigating complex matters significantly easier. Working with Heather is seamless as she approaches every situation with both expertise and genuine care, which is evident in the way she advocates for and supports those she works with. Her work ethic, reliability, and commitment to excellence make her a true asset to MSSNY and the physicians it serves.” — Joanna Georgilis, CMOM, CMRS
These experiences reflect a broader truth shared by practices across the state: when payer challenges arise, physicians do not have to face them alone. MSSNY continues to stand alongside New York physicians—protecting their practices, strengthening their financial stability, and advocating for fair reimbursement so physicians can focus on what matters most: delivering care to their patients.
If your practice has unresolved claims, payment disputes, or recoupment concerns, connect with MSSNY’s Payment and Practice team and start recovering what your practice has earned.
