Let’s face it, no fault billing is a pain to deal with. And not just
the billing, but the unnecessary follow up, the calls, the requests, all
leading not to a payment, but a denial. To make matters worse, it is a
paper system and the rules for appeal are different than any other class
of insurance you deal with. Being a specialized coverage, finding competency
in the staff being asked to collect after a denial is issued, or after
you have answered all the questions raised and still not being paid, is
a time consuming process. And identifying the stale bills, with no denials
or payments, or no communication received for months on end, although
possible, will only lead to a need to put a person on the project to try
and get paid.
What if there is a better answer? What if a law firm, working on a contingent
fee, is able to do the following for you:
- Handle stale bills and get a true status
- Advise you of what has to be done internally to receive payment
- Arbitrate and enforce your right to payment for bills wrongfully delayed,
- Provide the data necessary to answer most of the questions that may arise
in the revenue cycle of the bill.
- Provide the next step in the event no fault is found not to be responsible
for a bill.
The Russell Friedman Law Group, LLP is a full service law firm with a specific
identifiable expertise in the handling of and legal administration of
matters arising from the billing to a no fault carrier. From secondary
payment issues to forms in use, from verification requests to denials
received, RFA has a proven track record in supporting the collection efforts
of a hospital. But the firm is not limited to collection. It has been
called upon to assist in compliance matters and consulting issues arising
from no fault billing. RFA is the first to offer a course for hospital
employees in the basics of no fault.
The numbers speak for themselves. The sole legal representative in no fault
for the largest hospital system in the state of NY, as well as distressed
hospitals, the firm has successfully resolved matters totaling $100,000,000.00
for its clients. The legal team is comprised of principals with a combined
50 years of no fault experience.
It does not stop there. Due to the efforts of the firm, matters that otherwise
would not have been addressed by the Department of Financial Services(formerly
The New York State Insurance Department), are brought to its attention
in real time. The most successful effort to date is the issuance of a
circular letter, which saved the current hospital billing process from
being disallowed by the Courts on behalf of numerous insurance companies
seeking to avoid payment. The firm is currently engaged in conversations
with the Department on a broad number of subjects ranging directly affecting
our hospital clients, including secondary payer issues.
In support of our clients financial reporting needs, The firm’s proprietary
on-line portal provides reporting capabilities unsurpassed in the No Fault