Medical Providers Are Reclaiming Lost Money Via PIP Suits. Here’s How.
by Marius Ged, on Sep 25, 2020 7:44:00 PM
If your practice sees car accident victims, you know insurance companies reject, delay, and underpaid claims. You also understand that doctors hired by insurers sometimes step in to declare the injuries treated, cutting off future payment.
If your claims are being rejected or reduced, you have potential personal injury protection (PIP) reimbursements due. Viable claims include:
- Treatment being down-coded, resulted in a lower payment.
- Lost eligibility is based on an independent medical examination, where a patient’s symptoms continue to manifest.
- Claims waiting extended periods with no payment and without explanation.
Insurers respond to our attorneys’ demands because of the potential for immediate litigation. Insurance companies generally avoid exposure to litigation and attorney’s fees, so most cases we pursue are quickly settled. It’s good when trials can be averted.
If it can’t, we litigate.
Whether you need help organizing your PIP recovery process or need expert, cost-free litigation support, we are the experts to call for PIP auto accident recoveries.
In A Nutshell: The PIP System
Florida’s no-fault auto insurance law mandates purchasing personal injury protection for all drivers. Florida PIP coverage pays up to $10,000 for medical and related expenses within the two weeks following a car accident.
Whereas the process for health insurance claims is lengthy and complicated, the PIP process is designed to move quickly.
Once your patients sign the Assignment of Benefits (AOB), you can claim the benefits as the medical treatment provider. Partner with Ged Lawyers and our legal team will handle the Assignment of Benefits, Explanation of Benefits, and billing ledgers.
Note that PIP coverage starts at $2,500, but the full $10,000 is available for an Emergency Medical Condition, either new or triggered by the collision. Thus, it is vital to designate EMC for a severe health threat or impairment.
Note also that an accident-related medical condition arising much later could warrant this designation and eligibility for $10,000.
Follow Claims and Recaptured Revenue Right on Your Digital Device
More than 25 years of trial experience have informed our comprehensive, HIPAA-compliant digital platform, which complies with local, state, and federal laws. Our security measures are regularly subject to HIPAA compliance audits.
Our staff will set up your portal so you can track claims and income. We’ll help you set up cloud connections and then audit your cases, looking back five years for viable claims.
Our digital system meshes with your existing billing software and provides payment accuracy certification. We can even help your office set up a virtual private network (VPN).
Partnering With Ged Lawyers Is Worth It!
Our firm represents doctors and MRI offices, chiropractors, psychiatrists, surgeons, anesthesiologists, dentists, PT specialists, neurologists, and others throughout Florida and Massachusetts who aim to recover lost income without getting mired in the claim process.
These clients receive all funds we recover, while the insurance pays the attorney fees. For cases that settle upon the pre-litigation demand, our prices are simply the statutory penalty: 10% of the benefits disgorged (limited to $250.00) and postage costs. According to state PIP law, when we win recoveries in court, we receive our fees from the insurer.
We never draw any payments from the medical provider’s recovery. Your office performs life-saving work. That payment for that work is yours.
Ready to start? Contact us to book an appointment and have one of our attorneys walk you through our services.