Margin Health PartnersYour practice might be losing revenue every single day. Let us check for free—we've recovered fortunes before.
A common billing configuration default in popular EHRs is quietly causing VA Community Care telehealth claims to be underpriced. Every day you delay, past claims cross the strict 180-day timely filing limit and become permanently unrecoverable. For a practice billing 250 telehealth claims a week, a 180-day backlog represents roughly $130,000 in lost revenue. We can recover this money swiftly without you having to lift a finger.
No patient-identifying information is needed through the public form. Our claim-screening methodology is proprietary.
We found it ourselves. Now we find it for you.
As clinicians in a busy Region 4 practice, we noticed a discrepancy in how standard billing software processed TriWest VA CCN telehealth claims. By correcting a single configuration error, we secured an ongoing ~$20.13 per-session rate increase. The first-year financial impact of this single forensic audit was estimated at roughly $249,000 for the practice. Because TriWest enforces a strict 180-day window for corrected claims, we built proprietary tools to automate the historical recoupment process. Now, we run this same diagnostic for you.
You pay $0 diagnostic fee. If we do not uncover any net-new recoverable gains, you owe us absolutely nothing. Our diagnostic time is our cost.
You decide whether to proceed. Our model is strictly no gains, no fees. Your practice keeps 80% of verified incremental collections and Margin Health Partners earns 20% of the first year's gains (strictly capped at 12 months—after Year 1, you keep 100% permanently).
Small sample. Actual remittance evidence. Claim-class decisions.
Start with non-PHI business facts: Region 4 participation, volume and claim mix.
After appropriate data terms are in place, review a narrow sample of paid claims and matching remittances.
Test materially different claim classes independently. No blanket coding changes.
What if your affected claims were worth $20 more?
Based on our actual case study yielding a ~$20.13 per-session increase, edit the assumptions below to model your potential recovery. The 20% first-year success fee is fixed in this illustration and remains subject to the executed agreement and legal review.
Default: 250 affected claims/week and $20 incremental value/claim.
Illustrative only. Actual results depend on claim facts, payer rules, contracts, dates, locality, adjudication, implementation and recovery rights. No increase or recovery is guaranteed.
What you need to know before the diagnostic.
TriWest enforces a strict timely filing and correction limit. Once a claim passes the 180-day mark from the date of original claim submission, you permanently lose the right to submit a correction and recover the funds.
No. Our initial $0 diagnostic is completely PHI-free. We only need aggregate volume data and a de-identified sample of your remittances. A BAA is only signed if we proceed to recovery.
We see this discrepancy most frequently in standard behavioral health EHRs like SimplePractice, Theranest, and AdvancedMD when billing telehealth to VA Community Care.
Find out whether you're already optimized.
Start with non-PHI business information. If the practice fits the current diagnostic scope, we will explain the next secure step.
Do not submit PHI: no patient names, DOBs, claim images, medical records, authorization numbers or other patient-identifying information.
Prefer to schedule a 10-minute diagnostic call directly?
Book 10-Min Call on Calendly →Or email directly: alex@marginhealthpartners.com