Resolution of Liability Claims

liability claim graphicLiability Claim Resolution

Medical providers are called upon to provide emergency treatment regardless of a patient’s financial status.  It’s the right thing to do, and it’s the law, but that does not mean that there are no institutional recovery options when faced with uninsured patients with third party liability claims.  Accidents and injuries often give rise to legal causes of action, and those causes of action may result in an opportunity for the medical provider to obtain fair compensation from deep pocketed insurers under Georgia StatuteThe Law Firm of O’Brien & Feiler (“OBF”) believes that medical providers are entitled to be compensated for their work, and where insurance or settlements are available, OBF Claim Resolution experts are there to help.

O’Brien & Feiler’s Six Rs to Resolve Liability Claims

Refer

  • Custom-built technology works with most EHR systems to harvest referrals.
  • All data transfers occur using HIPAA compliant technology.
  • ICD-10 ranges, liability flags, or other proprietary identifiers may be used to identify claims.

Research

  • Understanding the unique properties of each claim is pivotal to achieving fast, fair resolution.
  • Identifying attorneys, insurance carriers, and involved parties, and reviewing official reports.
  • Determining the recovery channel most likely to lead to fair, fast resolution.
    • Medical Payments Coverage
    • Third Party Liability
    • Workers Compensation
    • Crime Victims Compensation
    • Coordination of Benefits
    • Medicare as Secondary Payer
    • Medicaid as a Payer of Last Resort

React

  • Placing medical provider liens with proper notice and statutory compliance.
  • Ensuring that all parties know that the medical provider is protected.
  • Quickly supplying bills and records to insurers, attorneys, and appropriate parties.
  • Returning cases that do not have an institutional path to recovery.

Remind

  • Maintaining regular contact with insurance companies.
  • Seeking regular status updates from Plaintiff’s attorneys.
  • Ensuring that all parties know that the medical provider is engaged and seeking fair compensation, and is protected by law.

Recover

  • Facilitating proper compensation from Workers Compensation.
  • Negotiating equitable settlements with Plaintiff’s attorneys, adjusters, and others.
  • Assisting patients when communicating with Crime Victims Compensation.
  • Filing enforcement lawsuits against deep-pocketed institutions when appropriate.

Report

  • Providing clear top-level information regarding all elements of OBF efforts.
  • Supplying granular level case detail regarding each individual claim.
  • Designing custom reports to respond to individual client needs.