Proposed Revisions to the WCB’s 2018 Medical Fee Schedule


On October 3, 2018, The New York State Workers’ Compensation Board released a Revised Proposed 2018 Medical Fee Schedule. Changes proposed in this revised Fee Schedule will have a significant impact on the billing and treatment of No-Fault patients unless immediate action is taken.     Some of the most concerning proposed changes are as…

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Staying Healthy and Practicing Self Care


National Healthcare Decisions Day (NHDD) exists to inspire, educate and empower the public and providers about the importance of advance care planning. NHDD is an initiative to encourage patients to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be. The themes for NHDD week are: Monday…

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5 No-Fault Collection Tips Healthcare Providers Need to See


  When a patient comes to you, and they have been injured in an automobile accident, you will be dealing with more than just helping your patient.  Common concerns we hear from healthcare provides involve the following: Working with No-Fault Insurance companies, Independent Medical Examinations, Attorney Fees, Arbitration vs. Litigation, and the difference between an Authorization…

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After an Auto Accident Injury Case, What’s Next?


If you have recently settled a Personal Injury accident case where you were injured in an automobile accident in New York State, read this to make sure that you have been fully compensated for every aspect that you are owed.  If you were denied any claims by your No-Fault insurance carrier, make sure you read…

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What is an EIP claim?


SO MANY Personal Injury Clients are missing out on money owed. When someone refers to “no-fault,” in the context of automobile accidents, they are referring to insurance coverage for medical bills, lost wages, and other necessary expenses incurred as a result of a motor vehicle accident. These elements encompass “basic economic loss,” and are often…

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The Difference Between an Authorization and an Assignment


Every no-fault provider should be knowledgeable on the differences between accepting an “Authorization to Pay Benefits” (Box 20 of the NF-3) versus an “Assignment of Benefits”(Box 21 of the NF-3).4 Although both will permit the carrier to pay the provider directly for the services they render, the remedies for bills that are denied vary significantly….

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The TRUTH about No-Fault Insurance Collections


by Attorney Thomas Tona: Recently, I was out to dinner with two chiropractors.  Twenty minutes into the dinner, the discussion turned to the business of Chiropractic, where two issues dominated the balance of the night. Issue one arose when I asked the question, “What is your number?” Silence and blank stares followed.   I then…

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After an IME denial, can my patient still treat with me under No-Fault?


‘The short answer to the question of whether a patient should continue with treatment after an IME denial, or a “cutoff” as its commonly called, is that it really depends on the medical necessity. The sole determiner of medical necessity is the treating provider. One of the most frequently asked questions that we get in…

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A Week of Wins at TONALAW – No-Fault Arbitration Awards


NY CIVIL COURT ARBITRATION AWARD:  Our office recently had an arbitration award confirmed in New York Civil Court. The carrier denied lost wages pursuant to an Independent Medical Exam (IME). At the underlying arbitration hearing, the carrier argued that since the eligible injured person had not formally submitted a lost wage claim post-IME, or provided…

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DENIED? TONALAW COLLECTIONS CAN HELP


As a healthcare provider, it is your priority to provide outstanding care to treat and heal your patients. You should not have to worry if you will get paid for your services, based on the insurance companies’ decisions. Let our attorneys save you time and money by fighting the improper denial of your No-Fault bills….

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