Surgeons with ER Calls
Surgeons covering ER call — something surprising we’ve been seeing.
After analyzing hundreds of practices, one pattern keeps showing up.
Emergency cases billed $30K–$50K are often paid at 7–10% of charges when out-of-network.
Example we recently reviewed:
Emergency orthopedic surgery
Billed: $40,000
Paid by insurer: $3,200
That leaves roughly $36,800 unpaid.
What many surgeons don’t realize is that these payments can often be challenged through federal arbitration if filed within 30 days.
When physicians actually pursue arbitration, the outcomes can be significant:
Average recovery per claim: $41,580
Across most orthopedic practices we review, there are ~5–6 eligible claims per month.
That’s nearly $250K per month in potential recovery.
We’re seeing the same pattern with surgeons covering the ER across multiple specialties:
• Orthopedic surgery
• Trauma surgery
• Neurosurgery
• Cardiology
• General surgery
Most physicians aren’t ignoring the opportunity.
They simply don’t have visibility into the numbers.
At Callagy Recovery Corporation, we help practices analyze their claims and determine whether recovery through arbitration is possible.
If you’re curious what this might look like for your practice, feel free to send me a message or book a 15 min call using the link below.
We’ll run a complimentary analysis on your 90 days of out-of-network EOBs showing:
• Claims still within the arbitration window
• Estimated recovery potential
We follow HIPAA-compliant processes and execute a BAA before reviewing any data.
No obligation. Just insight.
Quick question for surgeons covering ER call:
Are you seeing payments closer to 10% of billed charges or higher than that on out-of-network cases?
Link for the call: https://mprps.squarespacescheduling.com/schedule/19f89de8/appointment/89096499/calendar/4522197
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