ICD-10 All Things No-Fault™

ICD-10 & No-Fault Insurance

Reach Out to Our New York ICD-10 Lawyers Today

ICD-10 (The International Classification of Diseases, 10th Revision, Clinical Modification) is a revision of the coding system ICD-9-CM, which governs how diseases and injuries are classified and measured. ICD-10 includes roughly 70,000 diagnostic codes, which made their debut on October 1st, 2015.

How ICD-10 Will Affect Medical Bill Collection for Hospitals

Some of these codes could affect no-fault billing for hospitals and other medical providers. Two important codes for hospitals to notice are the severity codes and causation codes.

ICD-10 Severity Codes: The ICD-10 severity codes delineate how medical providers and insurance carriers measure the degree of an injury or illness. Under the new codes, carriers may seek to down-code the severity of a specific case by alleging that the records provided and the injury do not match. In short, carriers will attempt to underpay reimbursement by down-coding the severity of the treated condition.
ICD-10 Causation Codes: Like the severity codes, the causation codes give carriers another opportunity to avoid fair reimbursement for no-fault accidents and injuries. Under the new codes, government payers or commercial carriers will not reimburse injuries with non-specific and unspecified causation. This includes secondary treatment for accidents, such as chronic arthritis caused by a prior car accident.

Working with a Healthcare Consulting Firm

In New York, no-fault laws are designed to make sure commercial insurance carriers pay reimbursement to medical providers for motor vehicle accidents, regardless of liability. With the onset of ICD-10, seeking reimbursement for no-fault bills is not only complicated but problematic.

A healthcare consulting firm can help medical providers determine whether no-fault bills merit any recovery through the no-fault system. Additionally, a firm can exhaust other possible reimbursement opportunities since payment may involve secondary payers and other options.

Without adjudication of the bill and guidance from a qualified lawyer, exploring these options is difficult—if not impossible.

Work with The Russell Friedman Law Group, LLP

At The Russell Friedman Law Group, LLP, our healthcare consulting attorneys serve medical providers throughout New York. We are well-versed in no-fault medical bill collection and all facets of healthcare consultation.

If your hospital is facing difficulties collecting reimbursement for no-fault medical bills, speak with us today by calling (855) 339-4436 and scheduling your first consultation.

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Meet Your Legal Professionals

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Russell C. Friedman
Founding Partner, 1958 – 2021

As a no-fault insurance lawyer in New York, Russell Friedman is well-versed regarding the state’s no-fault laws. He has assisted countless individuals, hospitals, healthcare providers, and practitioners with denied no-fault claims and collecting on billing related to car accidents. With more than 30 years of experience behind him, he has the skills and resources needed to address some of the most complex no-fault issues.

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Bruce M. Klein
Partner

Backed by more than 40 years of experience, Bruce M. Klein has provided high-quality healthcare consulting services to clients throughout New York. At Russell Friedman & Associates, he represents healthcare providers and carriers in no-fault regulation cases. In fact, he played an instrumental role in our firm’s work in obtaining clarification from the NYS Department of Financial Services that UB-04, the standard hospital billing form, is a bill in no-fault.

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Charles H. Horn
Partner

Charles H. Horn is a New York healthcare consulting lawyer at Russell Friedman & Associates. A skilled litigator, he has tried more than 100 verdicts and has obtained numerous successful results. Backed by 18 years of experience, Attorney Charles Horn is very knowledgeable about cases related to excessive force, false arrest, and health-care related controversies.

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David J. Zwerling
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David J. Zwerling is a partner of Russell Friedman and Associates, and the managing attorney of our Hackensack, NJ office. Mr. Zwerling has served the people of New Jersey and New York for decades. Since beginning his career in private practice in 1990, he has been a partner for several law firms in the area. His background includes general civil litigation, high volume No-Fault/PIP Arbitration, civil rights violations and more.

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Ron F. Wright
Partner

We at Russell Friedman & Associates are proud to work with a dedicated New York no-fault insurance attorney such as Ron F. Wright. When handling no-fault insurance cases, he is meticulous and driven to reach a timely resolution. He has represented numerous medical providers in claims against insurance companies, including those involving denied no-fault claims.

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Erin S. Stamper
Supervising Counsel

As Supervising Counsel, Erin S. Stamper is dedicated to meeting the needs of the clients who seek our help. At Russell Friedman & Associates, she handles cases involving no-fault claims and drafting complex legal memoranda. Her proven litigation skills have translated into numerous successful results. In fact, she has successfully handled more than 75 no-fault trials and has resolved hundreds of others through arbitration.

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Alexander H. Mun
Senior Counsel

Attorney Alexander H. Mun, is a well-respected and knowledgeable health care attorney. Since joining Russell Friedman & Associates in 2012, Attorney Mun has successfully secured millions of dollars for the Firm’s health care clients in the collection of their no-fault claims, in both arbitration and litigation. Over the course of his career, Attorney Mun has successfully arbitrated and litigated thousands of no-fault claims.

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Neil Flynn
Senior Counsel

For over two decades attorney Neil Flynn has litigated matters in New York State and Federal Courts from Suffolk County to the Canadian border. Neil has successfully prosecuted and defended complex, high-value matters involving intellectual property, construction, contracts, employment, health care, medical malpractice, nursing home negligence, and bodily injury, among other areas of law. He’s represented clients on both sides of the table in over a hundred trials and won over fifty million ...

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Pablo A. Fernandez
Senior Counsel

Attorney Pablo A. Fernandez joined the law firm of The Russell Friedman Law Group in 2021, having a diverse background in criminal defense, immigration, construction law litigation and municipal law.

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Rich Pawelczyk
Senior Counsel

Richard Pawelczyk is Senior Counsel at The Russell Friedman Law Group, LLP, handling litigation and transactions for individuals and companies of all sizes, including publicly traded corporations. Prior to joining the Russell Friedman Law Group, LLP in 2021, Mr. Pawelczyk served as counsel to several prominent entertainment companies and helped guide their business development, including Webster Hall Entertainment Corp before its sale to the Brooklyn Nets ownership group. Mr. Pawelczyk’s 20 ...

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Ryan C. Woodworth
Senior Counsel

Ryan C. Woodworth founded and managed a private practice before joining the distinguished team at Russell Friedman & Associates in 2019. Mr. Woodworth is excited to be working with the team at Russell Friedman & Associates to help healthcare providers receive what they are owed by insurers. His diverse experience and familiarity in assisting clients with insurance and disability payments bring a valuable perspective to our team.

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Phillip H. Kim
Counsel

Phillip H. Kim joined the law firm of Russell Friedman & Associates in 2019, having a diverse background in civil litigation including labor and employment litigation. Prior to joining the firm, Mr. Kim has successfully litigated numerous labor and employment law cases on both Plaintiff’s and Defendant’s sides, including matters involving the FLSA, NYLL, and ADA.

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Mohammad Anwar
Counsel

Mohammad Anwar joined The Russell Friedman Law Group, LLP in 2022, with a background in civil litigation, having previously represented creditors in residential foreclosures in courts throughout New York State. Currently, Mr. Anwar handles personal injury claims and represents healthcare providers in the collection of their no-fault receivables, in both arbitration and litigation. Mr. Anwar earned his law degree from New York Law School and completed his undergraduate studies at John Jay College ...

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Spencer D. Shapiro
Counsel

Joining The Russell Friedman Law Group, LLP in 2021, Spencer D. Shapiro is a litigator, with extensive experience handling civil rights, personal injury, and municipal law cases in the New York State Supreme Courts and Federal District Courts. As a Deputy County Attorney for the Litigation and Appeals Bureau of the Nassau County Attorney’s office, Mr. Shapiro aggressively defended the County against claims of municipal liability through motion practice, depositions, and at trial, taking several ...

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Steven R. Filosa
Counsel

Joining The Russell Friedman Law Group, LLP in 2021, Steven R. Filosa is a commercial litigator with experience handling employment law cases at the federal, state, and administrative levels. Mr. Filosa represents workers whose rights have been violated, prosecuting claims involving discrimination, harassment, retaliation, whistleblower, and wrongful termination. Mr. Filosa is also committed to representing trauma survivors, helping victims of sexual abuse and assault obtain compensation for the ...

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Lauren Senko
Counsel - Pending Admission

Lauren Senko joined Russell Friedman & Associates in 2022 and is a member of the firm’s No-Fault & Health Care Law Department. In May 2022, Ms. Senko graduated from Touro Law School. While attending law school, Ms. Senko worked as an officer manager for Worth Property Management and participated in two law clinics. Ms. Senko interned for the Small Business/Not-for-Profit Clinic, where she helped small businesses create trademarks, draft by-laws, and articles of incorporation, and for the ...

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Sheetal Paul
Counsel

Sheetal Paul joined Russell Friedman & Associates in 2022, with a background in civil litigation. Ms. Paul has represented national insurance carriers in both court and arbitration and spent significant time conducting examinations under oath of claimants and medical providers. Since joining the firm, Ms. Paul has shifted her practice to the representation of healthcare providers, including hospitals, ambulatory surgery centers, and surgeons, in the collection of their no-fault receivables. Ms. ...

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Teresa M. Spina
Of Counsel

Teresa M. Spina has over 30 years of litigation experience and over 15 years in law office management. As the former attorney of record of GEICO’s NY No-Fault staff counsel, the largest in-house No-Fault office in the country, Ms. Spina has an in-depth knowledge in the No-Fault arena that is unparalleled. She supervised the ardent defense of no-fault litigation and arbitration of thousands of cases dealing with issues such as medical necessity, coverage, staged accidents, and policy exclusions. ...

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