payment – Simons & Associates Law, P.A.

Prime Health Services WC Addendum

May 1, 2017 by

Maine Practice Management Network Members: If you received the attached letter recently (or receive one in the future) from Prime Health Services, Inc. asking you to sign an Addendum to your Participation Agreement for workers’ compensation, it is because Prime thinks you have a contract with them to take a discount on your workers’ compensation … Read more

New Eval Codes

May 1, 2017February 8, 2017 by

Many thanks to Mary Kroth-Brunet at Back in Motion Physical Therapy for speaking briefly at our Annual Client meeting on Jan. 26 about the new PT Eval codes. You can access Mary’s “cheat sheet” here. Mary will provide more in-depth instruction on how to use these codes at the February 15th Practice Management Network webinar … Read more

Attorney Letter of Protection/Settlement Lien

May 1, 2017July 10, 2016 by

Use this form to assert a lien on the proceeds of a liability settlement (i.e. for MVA cases) to ensure you will get paid when the case settles.

VA Choice Program Contract Analysis

May 1, 2017July 1, 2016 by

The VA Choice Program Provider Agreement for Maine Providers was reviewed on 6/30/2016. The Client Alert_VA Choice Program Contract Analysis can be downloaded here.

Client Alert: CIGNA

May 1, 2017April 20, 2015 by

New CIGNA Provider Agreement has issues!!!

Several of my clients in multiple states received a new contract from CIGNA back around December 2014 and again here recently. If you received any such letter and new contract . . .

Client Alert: Harvard Pilgrim Amendment Analysis

May 1, 2017October 7, 2014 by

This is a 25 minute video where I discuss my analysis of the Harvard Pilgrim Contract Amendment for PMN Members only . . .

Payor Contracts

May 1, 2017December 9, 2012 by

Contracts with private insurers are becoming more and more complicated. Many contracts are “Silent PPOs” that allow the payer to sell their preferred provider network to any other payer that the provider may already have a separate contract with. Providers can risk their business by signing every contract that comes their way without first obtaining legal counsel on what the contract … Read more