Ep. 001: The Insurance Payment Scam Hiding in Your RCM

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What if your practice is getting paid exactly what the remittance says, but your bank account tells a different story?

In this episode, Tyler Lewis, CEO and Founder of Sentrii RCM, talks about hidden revenue leakage caused by fees on virtual credit card payments from insurance companies. Tyler explains how practices can see the full payment amount in their billing systems while receiving 2–3% less in their bank accounts because payment data is fragmented across multiple systems. He shares how Sentrii uncovered a $3,000 shortfall on a $100,000 payment and helped one client recover more than $100,000 in fees over 12 months. Tyler’s advice is simple: follow the money by tracing large insurance payments from remittance to bank and understanding exactly what it costs to collect them.

Tune in to discover where hidden insurance payment fees can drain revenue and how to find them before they add up.

About Tyler Lewis:

Tyler Lewis is the CEO and Founder of Sentrii RCM, a healthcare revenue cycle management company specializing in helping medical practices improve collections, reduce administrative burden, and uncover financial issues that often go unnoticed.

A third-generation revenue cycle professional, Tyler has more than 20 years of experience in medical billing, practice operations, payer strategy, technology implementation, and revenue cycle optimization. Throughout his career, he has helped healthcare organizations identify costly inefficiencies, strengthen financial performance, and build more effective billing and operational processes.

Tyler holds an MBA from Case Western Reserve University and is known for translating complex revenue cycle challenges into practical, measurable solutions for physicians and healthcare leaders.

Resources:

• Connect with and follow Tyler Lewis on LinkedIn.
• Learn more about Sentrii RCM on their LinkedIn and visit their website!

Things You’ll Learn:

• Virtual credit card fees can quietly reduce the amount of insurance revenue that reaches a healthcare practice’s bank account.
• The billing system and remittance can show a full payment even when the bank receives a smaller net amount.
• Payment fragmentation across billing systems, processors, and banks makes revenue leakage difficult to identify.
• Insurance payment processing fees typically range from 2–3%, but the AMA has warned that they can reach 5%.
• Practices can request fee-free ACH payments from insurers, although implementing the change can require significant effort.
• Following large insurance payments from remittance to the bank can reveal previously invisible financial leaks.
• Transparency, curiosity, and the integration of fragmented financial data can turn assumptions about revenue collection into verified results.

Read the transcript below and subscribe to The Edge of Healthcare on YouTube.