SUCCESS STORY 1

Procedure recovery

Provider: a skilled nursing facility in NJ

60 year-old male – patient

$173,600.00 – billed

$38,750.00 – paid

$134,850.00 – savings (78% discount)

This gentleman required 30 days of skilled nursing services to recover from surgery. Penfield negotiated a final settlement based on a fixed ‘per day rate’ resulting in a 78% discount while ensuring the provider could meet its level of cost.

SUCCESS STORY 2

Fractured left-wrist surgery

Provider: a hospital in Washington state

43-year-old male – patient

$59,117.45 – billed

$12,203.32 – paid

$46,914.13 – savings (79.4% discount)

This insured gentleman required surgery to repair a fractured left wrist at work. Penfield negotiated a final settlement based on medicare equivalent benchmarks for the provider location, resulting in a 79.4% discount while ensuring the provider received fair payment.

SUCCESS STORY 3

Nerve damage repair

Provider: a surgery centre in Texas

64-year-old female – patient

$33,594.12 – billed

$6,140.00 – paid

$27,454.12 – savings (81.7% discount)

This lady required surgical intervention to repair somatic nerves in her back. Penfield negotiated a reimbursement rate equal to the ambulatory surgery centre fee schedule. The result was an 81.7% discount while ensuring fair payment for both payer and provider.

SUCCESS STORY 4

Blunt trauma due to fall

Provider: a hospital in Florida

59-year-old male – patient

$25,497.00 – billed

$10,960.63 – paid

$14,536.37 – savings (57% discount)

This gentleman required numerous CT scans on the head/chest/spine and neck due to a fall. Penfield negotiated a reimbursement based on the state fee schedule rate. The result was a 57% discount while ensuring a smooth billing process for an out-of-network provider.

The result was a 57% discount while ensuring a smooth billing process for an out-of network provider

SUCCESS STORY 5

Spinal injury following a car accident

Provider: a hospital in Illinois

64-year-old male – patient

$262,762.28 – charges

$105,657.37 – paid

$157,657.37 – savings (60% discount)

The patient suffered spinal injuries following a serious accident while driving from one business meeting to another. He was admitted for 11 days and underwent multiple surgical procedures. In addition to securing a sign-off for a cost-plus-based reimbursement for the facility charges, the negotiator was also able to secure agreements for a number of physician fees at a cost lower than the client’s previous vendor who had been handling these expenses.

Faz Subhani

Vice President – Global Sales & Marketing, Penfield

Faz is Penfield's Vice President of Global Sales & Marketing, and is a trained clinician having qualified from University Hospitals Coventry & Warwickshire. He is also an MBA graduate from the University of Birmingham Business School, specialising in International Business and marketing. Faz’s successful career spans over 30 years working in the healthcare sectors, both in the UK and internationally, with experience specialising in the pharmaceutical industry, medical insurance, medical equipment and management consultancy sectors.