Public Health Law Article 28 governs the licensure and regulation of hospitals, hospices, nursing homes, diagnostic and treatment centers, ambulatory surgery centers and certain other health care facilities (collectively referred to in the PHL as “hospital”), and sets forth the requirements for their establishment and incorporation. All entities formed under Article 28 are regulated and governed by the NYS Department of Health. Billing for facility fees and the sub-specialties operating under the Article 28 license can be complex enough, without dealing with delays in cash flow due to improper denials of your No-Fault bills. It is important to deal with a law firm versed in the controlling No-Fault statute, and the underlying medical treatments you are billing for.

As a hospital or hospital-owned medical group, it is your priority to provide the highest level of service to your clients. No-fault insurance companies make it extremely difficult to receive payments. They find every excuse possible to deny payments, even claims lawfully owed to you. Many hospitals and hospital-owned medical groups are not aware that payment for services is protected under NYS No-Fault Insurance Law. 

Let us deal with the insurance company while you run your business. Maximize your time and focus more on billable services. There are no risks or upfront payments, TonaLaw is a no-fee law firm, all of our fees are fixed by statute and paid for by the insurance companies. If we don’t win, you don’t pay, it’s that simple.

Our No-Fault Process

During the initial consultation, our attorneys inform you of the legal rights and remedies available to hospital-owned groups under New York State Insurance Law. It is our intention to make the no-fault collection process as effortless as possible. An attorney will come to your office to advise you of your rights and collect the necessary information to get started below.

No-Fault Checklist

  1. Assignment of benefits
  2. Outstanding bills, a billing ledger and proof of mailing if available
  3. Corresponding denials
  4. All medical records, reports, notes, and exams you have on the patient pertaining to the date of the accident
  5. A letter of medical necessity for treatment and/or a rebuttal letter to the peer review/ IME (optional but recommended)

About TonaLaw

The attorneys and paralegals at TonaLaw represent all of our clients aggressively, with the utmost integrity. We have successfully collected millions of dollars in no-fault receivables since 2001 and boast over 38 years of collective litigation experience. Our law firm’s goal is to get your no-fault collection bills paid in 210 days or less! 

TonaLaw serves hospitals throughout the state of New York from our main office in Suffolk County in St. James, NY. In addition to serving hundreds of healthcare providers, our Suffolk County Law Office successfully closes 2,500 + no-fault cases each year.

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