No-fault Litigation/Arbitration

No-fault Litigation/Arbitration

  • Does your office treat patients for injuries sustained by them in the motor vehicle accidents?
  • Does your office follow all the necessary procedures set forth by the New York Insurance Regulations, but you still receive denials on the bills for medical services rendered?
  • Does your office submit medical bills for the treatment rendered to the insurance companies and then wait, only to receive a denial stating that the services rendered by your office were not medically necessary?
  • Does your office not get paid because someone at the insurance company decided how your patient should be treated?

 

If you had answered yes, then our Law Firm will be able to help you with the collection and litigation of your unpaid no-fault medical bills.

Our attorneys have years of experience navigating the world of no-fault litigation and arbitration. Our Firm is focused on obtaining maximum collection results through arbitration and litigation for our clients. Our service and client relationship does not depend on whether we are handling a multi-million dollar client or a client with a small practice. We strive to represent our clients’ interest at the best of our ability and our highest goal is to provide the best collection result for our clients.

Our Firm represents clients in numerous specialties: osteopaths, orthopedic surgeons, physiatrists, chiropractors, acupuncturists, physical therapists and psychologists. Our attorneys are involved in every case and are able to update our clients on the status of the cases on the regular basis. It does not take years for our clients to see results, they begin to see results within months after the case is handed to our Law Firm.

All we require from our clients to begin working on their collection case is the copy of unpaid medical bills, a copy of the assignment of benefits and a copy of the denial, if any, received from the insurance company.

To learn how our Law Firm can help you to increase collection on your no-fault insurance claims contact our Law Firm at 718-676-9061.

Do Not Delay, Start Receiving Results Today!

“Prior results do not guarantee a similar outcome.”

 

Our Law Firm has handled hundreds of cases denied on the following basis:

 

Post IME Treatment/Peer Review Denials:

Insurance companies use independent medical examination (IME) to determine whether the patient still requires medical treatment. IME exams are performed by the medical professionals hired by the insurance companies. If the IME doctor determines that no further treatment is necessary, the insurance company will issue the denial of all subsequent treatments following the IME exam. Those denials do not mean that the medical provider cannot recover. The Law Firm of Natalia Skvortsova, PLLC will help you to recover for services rendered after the IME exam. Do not delay; call our office today at 718-676-9061 to see how you can improve your collection outcome.

Insurance companies also use peer review reports prepared by the doctors that conclude that the medical services or tests were not medically necessary to deny reimbursement for submitted medical bills. However, when peer review doctors generate their reports they do not actually see the claimant, but only rely on medical documents available to them. Our Firm has successfully litigated numerous peer review cases. We provide individual attention to each peer review case to determine the weaknesses of the peer review reports and later use those weaknesses to obtain positive results for our clients. The Law Firm of Natalia Skvortsova, PLLC will help you to recover for services denied based on peer review reports. Do not delay; call our office today at 718-676-9061 to see how you can improve your collection outcome.

 

Fee Schedule Denials:

Very often insurance companies will issue partial payments on the bills based on their interpretation of fee schedule. In some instances the interpretation of fee schedule codes by the insurance companies are incorrect. The Law Firm of Natalia Skvortsova, PLLC will help you to recover the unpaid balance of the bill. Do not delay; call our office today at 718-676-9061 to see how you can improve your collection outcome.

 

EUO/IME No-Show Denials:

New York State insurance regulations provide that a claimant has to appear for an examination under oath (EUO) and independent medical examination (IME) in order for the claimant to be eligible for no-fault benefits. The insurance companies will deny no-fault benefits if the assignor fails to attend EUO/IME as such nonattendance violates condition precedent to coverage. However, very often insurance companies send defective notices to the assignor. Our individual attention to each case allows us to determine whether our no-fault client can recover even if the assignor failed to attend EUO/IME.

Insurance companies also have a right to examine a treating provider/owner of medical facility. Insurance companies, likewise, may deny the claim in its entirety if medical provider fails to attend EUO or based on the testimony given by the provider. In the event you had received a letter requesting your attendance at EUO, our skilled attorneys can accompany you and represent your interests during the EUO. We can also review your files denied based on EUO no-show to determine whether you can recover even if the provider failed to attend EUO. Do not delay; call our office today at 718-676-9061 to see how you can improve your collection outcome.