August 10, 2016 All PTs, OTs and Chiropractors need to be aware of a new scam I was made aware of this week. It is yet another attempt to redirect your claims to a third party so it can profit off your work without having any right to any payment whatsoever! A Maine PT client […]
Urgent Client Alert: MedRisk & IPS HealthSmart Read More »
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.
VA Choice Program Contract Analysis Read More »
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: CIGNA Read More »
This is a 25 minute video where I discuss my analysis of the Harvard Pilgrim Contract Amendment for PMN Members only . . .
Client Alert: Harvard Pilgrim Amendment Analysis Read More »
If your Maine Workers’ Compensation claims have been repriced and you did not get paid your charges or the applicable fee schedule, whichever is less, you can get paid. It’s easy! Simons & Associates Law will represent you in a Provider’s Petition for Payment for a contingency fee (see details below). To begin the process, simply
Workers’ Compensation Petitions for Payment Read More »
Over the last two years, the problems with workers’ comp claim repricing have grown tremendously. I’m sure you’ve heard me say many times, scrutinize every single payment you get from all payers on workers compensation claims! Even if you haven’t yet had a problem, chances are you will or you already have and just haven’t
The next time United Healthcare, Aetna, WellPoint (Anthem BC/BS), Humana or Cigna arbitrarily deny your claims or inform you they are going to unilaterally cut your reimbursement, think about where that money is going. . . . A Connecticut Health I-Team article reports salary and compensation for the 5 highest paid execs at these companies in 2012 ranged
Are Provider Payment Cuts Funding Top Insurance Execs’ Salaries? Read More »
On March 12, 2013, Judy Holder from FOTO gave an excellent presentation to our Practice Management Network/My Legal Counsel Members on the Medicare G-Code Reporting requirements and how FOTO can help. The presentation was recorded . . . .
Medicare G-Code Reporting with FOTO – recorded presentation posted Read More »
The Maine Workers Compensation Board recently approved a new fee schedule effective 1/1/2013. There are some modest increases in most of the 97000 codes that PTs and OTs use. (Finally! The fee schedule has not been increased in at least 10 years!)
New 2013 Maine Workers Compensation Fee Schedule Read More »
