Medical Provider Payment
Ensuring That Medical Providers Are Paid
Injured workers are not the only people who can be wronged by workers’ comp denials. Health care providers frequently find that their services have been downgraded, underpaid or not paid at all. Our firm represents health care providers who have been deprived of payment by employers’ insurance carriers.
Workers’ injuries can be a substantial part of a clinic’s caseload. But, such cases are time-consuming and involve more paperwork than other clients. Additionally, there are no requirements that a workers’ comp insurer pre-authorize treatment. Understandably, the shortfalls caused by underpayment and nonpayment have a pronounced, negative effect on a clinic’s bottom line.
Representing Health Care Providers In Medical Insurance Payment Claims
The most common forms of nonpayment and underpayment include:
- Denial of payment, because the insurance carrier disagrees about the extent of the injury or the treatment administered
- Improper payment based on what they customarily pay for a treatment
- Underpayment based on miscalculations of the fee schedule
- Nonpayment without any stated legal basis — they just don’t pay
Your Insurance Payment Attorneys
When this happens, the first line of recourse for providers is to request adjudication of the matter before the Alaska Workers’ Compensation Board. It is always wise to work with a law firm that is adept at advanced workers’ compensation law when making such an appeal — a law firm like Rehbock & Wilson. Our firm enjoys a high rate of recovery for clients, in line with existing fee schedules or with the treatment contract that was in effect.
Our lawyers can help you to file the paperwork requesting proper payment. We will stand by you at all hearings. We will obtain expert testimonies on the value of treatments and take depositions of witnesses — whatever is warranted by the case at hand.
As a workers’ compensation firm, we do all work, including medical underpayment cases, on a contingency basis. You pay us nothing.