Julie Lewis Hauf provides training and speaks around the country on handling claims involving insurance fraud and abuse, medical billing and coding, as well as general insurance topics. Classes are available from hour-long seminars to intensive day-long training on a variety of issues.
Even when a referral itself is permissible, has it been done in the right way? Florida Statute sec. 456.052 sets forth the disclosure requirements by a referring health care provider – lack of compliance is a misdemeanor and can be grounds for disciplinary action by a provider’s board. This video discusses what to look for and how to use this information to keep your damages down.
What does it mean to “knowingly” submit false or misleading statements related to a claim or charges? The Florida PIP statute provides a defense to payment of claims in this situation. We discuss the term “knowingly” in this context as well as how this section of the PIP statute can be used in BI cases.
There’s a section of the Florida PIP statute that will help prevent a provider from claiming in litigation that “I billed you like this, but you should have known to pay me like that.” This video discusses a defense to consider in every PIP suit where the provider claims their billing “error” makes the carrier responsible for a higher payment than was initially made.
This next installment in our series on fee hearings addresses multipliers, specifically the required element of showing that the relevant market required a contingency fee multiplier in order for the client to obtain competent counsel.
A car accident isn’t an investment opportunity. Find out how to spot and what to do when a physician’s offices pays for the surgical center charge and places a much higher charge on their own bill.
First in a series, this video addresses some significant areas of reduction to consider on plaintiff’s timesheets, as well as recent trends in fee hearing awards around Florida.
Three things to look for in your procedure bills for facet injections to make sure the charges are appropriate.