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The attorneys in Miller Johnson’s Med Recovery Group provide litigation and counseling to medical providers seeking insurance reimbursement on patient accounts. Our group pursues wrongful denials of hospital claims by third-party payers, including no-fault carriers, health insurance plans and government plans.
Why use the MJ Recovery Team?
No Fault eligibility, coverage, causation and priority disputes under Michigan’s No Fault Insurance Act;
Health Plan eligibility, coverage, causation and priority issues including pre-authorization disputes, priority disputes, denials for pre-existing conditions, COBRA eligibility, and ERISA preemption;
Insurance payment issues arising under the No Fault Fee Schedule, the Worker Compensation Fee Schedule, ERISA health plans, HMOs and Government plans including partial payments, mistaken payments, “customary and reasonable” underpayments, third party audits and balance billing issues;
Contractual issues and audits with Medicare, Medicaid, Tricare, group health plans, managed care entities and No Fault Networks.
Charging lien or fee claims against hospitals and medical providers from attorneys representing patients in liability claims.
Miller Johnson’s Med Recovery Group routinely seeks and collects interest and attorney fees from carriers for wrongful denials by enforcing state and federal laws requiring prompt payment of claims. Miller Johnson’s Med Recovery Group provides 24/7 live access to all referred account through a secure SharePoint portal. Miller Johnson’s Med Recovery Group provides training and legal updates to medical provider through Client Alerts, electronic bulletins and training videos.
Our group’s litigation and counseling have provided our hospital, health system and medical provider clients with a much-decreased timeframe in accounts receivable and significant decreases in self-pay accounts, charity and uncollectible write-offs.
We have increased collections overall by pursuing improperly denied claims. In the past 3 years, they have collected more than $100 million in denied charges and over $3.0 million in interest and attorney fees from payers which have denied and delayed payment of claims.
In addition to appealing and litigating denied claims, our group provides training to Patient Financial Services representatives on billing and coding issues, no-fault eligibility and coverage issues, appeals to government payers, HMOs and ERISA plans on denied claims and compliance under the Fair Debt Collection Practices Act. We have also designed and implemented Denial Management Protocols for our hospital clients. We provide both in-house training seminars and e-mail notifications regarding legal issues affecting reimbursement.
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