Medical Revenue Recovery Services for Surgeons
Callagy Recovery helps out-of-network and on-call surgeons across every specialty recover millions of underpaid insurance claims. We work with neurosurgeons, plastic surgeons, orthopedic surgeons, and more!
Our expert legal team wins 94% of cases, recovering 5 to 15 times the initial payment. We’ve already recovered over $1 billion for OON surgeons. There’s no upfront cost. We only get paid if you do.
Why Choose Callagy Recovery for Your Medical Revenue Recovery?
- We have 27+ years of experience.
- We win 94% of our cases.
- We handle 4,000 cases a month.
- We recover 5x-15× the initial payment.
- We have dedicated teams that know how to build strong cases.
- We cover all upfront costs.
- We only ask for 20% of the amount recovered if we win the case.
- We’re transparent about what we do.
- We don’t get in the way of your billing process.
- We handle everything, from open negotiation to arbitration.
- We make sure no claim expires.
Our Medical Revenue Recovery Services for Surgeons
Medical Revenue Recovery for Out-of-Network Surgeons
Out-of-network surgeons often practice OON to maintain control over their contracts and fees. But insurers pay very little for emergency OON cases, using the No Surprises Act to justify median in-network rates. This can be as low as 3% to 10% of the billed charges.
Through the Independent Dispute Resolution (IDR) process, you can recover the revenue you’ve rightfully earned. You need support to gather evidence, prepare strong submissions, and meet strict filing deadlines. You also need arbitration support for denied claims with no upfront cost, so you can pursue more eligible cases without adding financial strain.
Medical Revenue Recovery for On-Call Surgeons
On-call surgeons must treat patients regardless of their insurance status, as required by the EMTALA. You have little control over coverage or rates, and insurers often pay far below the procedure’s value.
The financial impact is substantial. For example, an insurer may pay only $1,050 (3%) on a $35,000 procedure. A successful IDR case could increase that payment to $22,000, about 63% of the billed amount. Callagy Recovery identifies these underpaid emergency claims and fights for the additional reimbursement you’re entitled to.
Medical Revenue Recovery for Emergency Surgeons
Emergency surgeons operate in high-pressure, unpredictable situations where payment is never discussed upfront. Because nearly all emergency cases are out-of-network, insurers default to low QPA rates, leaving a large gap between what you earned and what you’re paid.
The IDR process gives you a legal path to close that gap. With the right evidence, many of these claims can be significantly increased. Instead of tracking deadlines, building cases, and dealing with insurers, our team handles the full process so you can stay focused on patient care.
Medical Revenue Recovery for Neurosurgeons
Neurosurgical cases charge some of the highest bills. This is why neurosurgery claims are the most underpaid of any surgical specialty.
Neurosurgeons also have the highest recovery potential through the IDR process. Our data shows neurosurgeons recover an average of $83,120 per IDR case. Your priority is treating patients, leaving little time to handle big underpaid claims. Our experts in medical revenue recovery can secure the payments you deserve without adding to your workload.
Medical Revenue Recovery for Orthopedic Surgeons
Orthopedic surgeries often involve high-cost procedures and expensive implants. This is why orthopedic claims are heavily underpaid when insurers apply the QPA.
Orthopedic surgeons also have strong recovery potential through the IDR process. Our data shows an average recovery of $41,580 per case, with some awards reaching over $300,000. Your priority is restoring mobility and treating injuries, not chasing underpaid claims. Our medical revenue recovery team secures the payments you deserve without adding to your workload.
Medical Revenue Recovery for Plastic Surgeons
Plastic surgeons often handle emergency facial, hand, and limb salvage cases. These are highly specialized and frequently out-of-network, which leads to significant underpayments.
Because these procedures are technical and unpredictable, arbitrators in the IDR process often award payments well above the insurer’s initial offer. Our data shows plastic surgeons recover an average of $31,829 per case, with some awards exceeding $100,000. Callagy Recovery manages the entire process from documentation to filing. This way, you can focus on patient care while securing the revenue you’ve already earned.
Recover What You Deserve Before the 30-Day Deadline Ends!
Out-of-network and emergency surgeons are often underpaid by insurers, which significantly impacts practice revenue. The Independent Dispute Resolution (IDR) process under the No Surprises Act provides a pathway to recover those underpaid amounts. But this opportunity is time-sensitive.
Waiting puts your claims at risk. Missing the 30-day window could mean losing that revenue permanently. Don’t let insurers keep what you’ve earned. Schedule a free, no-obligation call with our team. In just 15 minutes, we’ll show how much of your underpaid revenue can be recovered.
Medical Revenue Recovery for Surgeons FAQs
- Phase 1: Open Negotiation (30 days). You negotiate with the insurer, presenting evidence of fair market value.
- Phase 2: Federal Arbitration (4-6 months). If negotiation fails, a certified neutral arbitrator reviews both your and the insurer’s final offers and selects one.
- Phase 3: Payment (30 days). The insurer must pay within 30 days of the binding decision. Legal options are available if payment is delayed.
Callagy Recovery handles every step of this process. You don't need to understand the federal portal, the documentation requirements, the evidence standards, or the arbitration rules.
You can no longer pursue an IDR claim if you miss the 30-day negotiation window for the IDR process. The 30 days start from the date the insurer issues their initial payment or denial notice.
Callagy Recovery only charges a 20% contingency fee if we win your case. We also cover all filing, arbitrator, and administrative fees, so you pay nothing upfront.
Surgeons who are out-of-network or take emergency call at hospitals are eligible. This includes high-cost procedures or hospital-assigned cases where insurers often underpay. Callagy Recovery offers a free assessment call to determine if your claim qualifies.
- Patient records to show the service provided.
- Billing statements to show what was billed.
- Insurance explanations of benefits (EOBs) to show what the insurer paid.
- Procedure documentation to support fair market value and justify the claim.
With Callagy Recovery, you only need to provide these documents once. After that, new claim documents are added automatically to our HIPAA-compliant system.