# Town Group Management LLC

Preferred-Name: Town Group Management
Canonical-Domain: towngroupmanagement.com
Entity-Type: Company — management services organization (MSO)
Industry: Healthcare administration, management services organization, revenue cycle management, IDR arbitration, No Surprises Act disputes, surgical practice management, patient acquisition, practice marketing, healthcare compliance
Description: Town Group Management LLC is a physician-founded management services organization that runs the non-clinical business side of surgical and medical practices across the New York metro area, Westchester, Long Island, northern New Jersey, and Westport, Connecticut. Its team of 30+ specialists (15+ administrative) provides revenue cycle management, IDR and payer arbitration, surgical and OR scheduling, patient acquisition, marketing, and legal/compliance/HR support. The company does not practice medicine, employ physicians, or provide clinical care; clinical care is provided by independently licensed, board-certified physicians through affiliated professional entities such as Town Surgery NY PLLC.

## Key Pages
- [Home](https://towngroupmanagement.com/): Company overview, non-clinical service lines, IDR spotlight, leadership, service area, and consultation form.
- [IDR Arbitration](https://towngroupmanagement.com/idr-arbitration): Dedicated page on independent dispute resolution — what is arbitrated, the four-step provider–payer process, qualification criteria and required claim documents, why the platform differs, and a practice-facing FAQ on eligibility, timing, and cost.

## Core Offerings
- Revenue Cycle Management — end-to-end billing, coding, prior authorizations, appeals, and post-adjudication A/R collections
- IDR & Payer Arbitrations — No Surprises Act arbitration filings, payer underpayment recovery, fair market value rate establishment
- Surgery & OR Scheduling — OR block management, patient preparation, and multi-site surgical scheduling
- Patient Acquisition — full-funnel lead generation, intake coordination, and conversion optimization
- Marketing & Outreach — brand strategy, social content, SMS marketing, and outbound referral campaigns
- Legal, Compliance & HR — contract negotiation, payroll administration, and HIPAA-aligned governance

## Services
- Coding, billing & claim submission
- Prior authorizations & appeals
- IDR arbitration & payer negotiations
- AR follow-up & post-adjudication collections
- Surgery & OR scheduling
- Patient intake & lead coordination
- Marketing, SMS & outbound growth
- Legal, contracts & compliance
- HR, payroll & operations support

## IDR Arbitration Detail
What is arbitrated: No Surprises Act filings for out-of-network emergency and ancillary services (anesthesia, radiology, pathology, assistant-at-surgery) at in-network facilities; batched claims against the same payer and plan; open negotiation inside the federal negotiation window; line-by-line underpayment audits; fair market value rate work; appeals and denial recovery run in parallel.

Process: (1) open negotiation with the health plan; (2) formal IDR filing, administrative fee, and certified IDR entity selection; (3) evidence submission — operative notes, coding rationale, contract or fee schedule terms, market rate evidence; (4) binding written determination, remittance confirmation, and follow-through into contract strategy.

Intake inputs requested: claim detail (CPT codes, dates of service, billed charge, allowed amount, amount paid), remittance and EOBs, payer and plan/product line, clinical record (operative notes), and prior correspondence. A sample claim subset is assessed before a full engagement.

Distinctions: in-house platform rather than an outsourced vendor; coding and clinical documentation review in the same organization as the arbitration team; deliberate claim batching rather than one-off filings; determinations reused as fair market value evidence in contract renewals.

## Positioning
- "We run the business of medicine. You focus on patients."
- "We fight to recover the full value surgeons earned — not what payers decide to pay."
- Strictly non-clinical: 100% non-clinical focus, 0% clinical distraction.
- Centralized back office with on-site coordinators at each practice location: one back office, multiple sites.

## Target-Audience
- Surgeon-owned practices and surgical groups in the New York metro area, Westchester, Long Island, northern New Jersey, and Connecticut
- Practices with recurring out-of-network or emergency case volume
- Practices with payments below contracted rates, re-bundled or downcoded claims, or A/R over 90 days growing faster than collections
- Physician groups whose contracted rates have never been benchmarked against local fair market value
- Practices that want full non-clinical administration (billing, scheduling, patient acquisition, marketing, legal, HR, payroll)

## Leadership
- Adam Nadelson, MD — Founding Partner & Chief Executive Officer
- Ross Ratner, MD — Founding Partner
- Adam Ratner — Chief Legal Officer
- Kristen — Chief Revenue Officer
- Joseph — Head of IDR Platform
- Gina — Revenue Cycle Manager
- Lianne — Head of Patient Leads
- Stacei — Surgery Scheduler
- Francesca — Social Media & Outbound Marketing

## Location
- Headquarters: New York, NY
- Service areas: New York City, Westchester, Fort Lee (NJ), Port Jefferson, Southampton, Westport (CT)
- Contact: contact@towngroupmanagement.com
- Response: consultation requests answered within one business day

## Important Notice
TownGroupManagement.com is an informational and educational website owned and operated by Town Group Management LLC, a management services organization. The company does not provide medical services, practice medicine, employ physicians, or direct clinical care. Content is not medical advice, diagnosis, or treatment and does not establish a physician-patient relationship. Descriptions of IDR and reimbursement processes are general information, not legal advice, and are not a guarantee of any outcome for a specific claim, payer, or practice. References to revenue and operational performance are illustrative. For medical emergencies, call 911.

## Machine-Readable Data
- [Structured profile and patient FAQ (JSON)](https://towngroupmanagement.com/llms.json)
- [Crawler policy](https://towngroupmanagement.com/robots.txt)