Long Island Physical Therapist treats No-Fault patient

Proposed Changes to the 2020 WCB Fee Schedule

On July 3, 2019, the Workers’ Compensation Board proposed new fee schedule sections be established for Acupuncture, Physical Therapy, and Occupation Therapy. If the proposed changes are adopted, these providers will have their own section within the fee schedule containing CPT codes for billing services rendered to both Workers’ Compensation and No-Fault patients.    …

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Department of Financial Services Adoption of 2018 WCB Fee Schedule

UPDATE: On April 1, 2019, the 2018 New York Workers’ Compensation Fee Schedule will go into effect. Any chiropractor who treats Workers’ Compensation or No-Fault patients should be aware of the major changes and how this will impact them.   The Department of Financial Services has adopted Emergency Regulations (read in full below) regarding No-Fault…

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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 and…

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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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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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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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