PIP Suits and Depositions - Help!
Hi All, Has anyone who has an outside billing company had a provider bring a PIP suit and have you be the one to be deposed on the billing? How does this work and what do you charge for your time for...
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I don't quite understand; your client is suing someone and you're to be deposed? Is this a MA case? You shouldn't have to be deposed. As far as I know a certified copy of the bill is sufficient...
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Hi NaGahl, What do mean by an MA case? He is sueing because the company paid well below the usual and customary for PIP claims. The lawyers want to depose the person responsible for the billing and...
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I have a question... is this a provider here in Florida???If so, did the auto carrier pay 80% of charges? If so, that is all they are required to pay.I have spoken to other medical billers who have...
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Hi Steve, Yes this is in Florida and no, they did not pay 80% of the charges. I wouldn't have to go to court, it would probably be in my provider's office, but I'm just not too crazy about this sort...
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You could file a grievance against the insurance company for what could be a violation of State law.However, if the amount that is between 80% of charges and the amount that was paid was applied to...
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Hi Steve, No, there was no deductible. They just don't pay on the fee schedule that they are supposed to. They give an allowable which I think is like 100 or 120% of Medicare allowable and then pay...
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Robin, I meant Massachusetts... or Taxachusetts if you live there. I ask because in MA a record of the charges certified by the MD is admissible in court in lieu of testimony.On a side note, does the...
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Oh NaGahl - Massachusetts! Duh! No, I am in Florida. I understand what you are saying about it being the patient's insurance, but as Steve referred to above it is state law that auto insurance pay 80%...
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Is the policy holder a resident of Florida or another state? That may make a difference. If you need to be deposed, bone up on th law and be confident.Russ
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Hi Russ, She is a Florida resident. Did you ever have to do this? Thanks...Robin
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I personally have never given a deposition in a case such as this. I'm not really clear on why you have to be deposed if the law is clear. You may want to ask your doc if you can have some coaching...
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Depositions are not hard as long as you don't let them intimidate you. They are not smarter than you, they just have different training! There are a few hard and fast rules.1. Don't answer a question...
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Thanks so much Sharon and Russ for your help! And yes, the provider's lawyer is supposed to prep me. That was great Sharon - you would make a good (likeable) lawyer!
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I'm not sure if this is the same thing that you're being deposed for, but I had to give one once regarding patient records and billing. Basically I had to provide copies of the patients file and bills...
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Thanks Nancy, I hope its that easy. The lawyer is supposed to prep me, so hopefully it won't be too bad. I have till the end of March to worry about it Thanks for the input!...Robin
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