Your Partner in Worker’s Comp Collections
We are a leading medical debt collection agency in the US, providing comprehensive healthcare solutions for Worker’s Compensation Collections
That are cost-effective, secure, and dependable. Healthcare professionals and physicians choose to work with us to improve their lien recovery processes and revenue cycle management. We offer professional workers’ compensation lien collection services to give you peace of mind with sorted healthcare collections.
Medical Provider Collections
Medical facilities that provide health care to employees injured at work are due payment for all services administered. We represent health care providers in worker’s compensation cases to ensure they are appropriately reimbursed for the care they provide. Contact our team of debt collection attorneys to find out more about how we can help you collect on outstanding medical payments.
Collect the Debt From the Responsible Party
If you’re a medical provider seeking payment for health services required for an injury an individual sustained at work, chances are the employee is seeking worker’s compensation for any lost wages and medical expenses. As the health care provider, a settlement in favor of the employee can help you get paid for any outstanding medical bills from treatment. Knowing who to contact for reimbursement of charges will resolve debts quicker and limit wasted time calling the wrong people. That’s where our Specialists can provide valuable assistance. An employee who is covered under worker’s compensation is not responsible for payment. Debt collectors must seek payment from the employer and their insurance company.
Medical Fee Disputes & Collections Services
Often the insurance company will not pay the contracted rate for fees, let alone the actual billed amount. Rather than spending hours on the phone trying to get a straight answer, we simply help you pursue your claim in the work comp case by filing a Medical Fee Dispute. Some insurance companies argue that the charges are not reasonable, after they have failed to pay a pre-contracted rate. Don’t let them get away with it. Don’t just take what they give you, it sends them the wrong incentives. Advocate for what you’ve rightfully earned, we have experience in this niche area. The law limits the time to act in each case, so let us help you develop a system to handle whatever volume you may have.
We Manage Workers’ Compensation Cases Efficiently
We provide professional and sorted workers’ compensation lien collections services to let you get worry free.
Insurance companies seize every opportunity to reduce, cut off, or deny Workers’ Comp Claim benefits. That’s when We step in, fighting to secure every dollar you deserve!
Our team collectively brings more than 40 years of experience in the field of workers’ compensation, skillfully negotiating with insurance companies preferred by employers, We prioritize staying up-to-date with the latest workers’ compensation laws through ongoing research and education. As a result, we have a proven track record of successfully resolving thousands of cases through settlements and awards.
Why Trust Us For Your Workers Comp Collections?
Aggressive Approach
We possess expertise in Labor Code section 5402(c) and take a firm and aggressive stance towards workers’ compensation collections as well as lien litigation.
Comprehensive Management
Our services for workers compensation include workers comp injury reports, professional underwriting, specialties of loss control, and workers compensation claim management.
Experienced Litigators
We have an experienced team working in defense of workers’ compensation lien and business litigation. We provide Work Injury Compensation services and litigation for both employers and labor.
We solidified its reputation as a proficient authority in efficiently managing denied claims within workers’ compensation. Specializing in securing reimbursements for initially refused treatments, We brings years of unparalleled expertise to this domain.
How to source and manage missing documents hindering collections of the billed charges.
How to get OMFS value on denied claims either using LC § 5402 or UR rules on RFA denials.
How to fund outstanding AR with innovative structure that works for both the Practice and Funding Source.
Future Trends in Workers Comp Medical Collection
Workers’ comp medical collections will likely witness significant transformations driven by evolving industry trends. Enhanced technology integration, such as the widespread adoption of artificial intelligence and automation, is anticipated to streamline billing processes, reduce errors, and improve efficiency. Digitalizing medical records and billing systems may facilitate faster claims processing and increased transparency.
Collaboration among healthcare providers, insurers, and regulators can standardize processes, fostering a more cohesive ecosystem. Prioritizing preventive measures, wellness programs, and workplace safety initiatives may reduce the frequency and severity of workplace injuries.
End Note
The shift to digital medical records and telemedicine promises a more accessible healthcare experience for injured workers. Adapting to these trends is crucial for stakeholders in the workers’ compensation ecosystem to thrive in the evolving landscape of medical collections.
How Workers Comp Affects Medical Billing?
Here’s how workers’ compensation affects medical billing:
1. Designated Providers
Injured workers must see specific healthcare providers designated by workers’ compensation. Non-designated providers may lead to non-covered medical expenses.
2. Billing Procedures
Providers bill the workers’ compensation insurance directly, not the patient. Complex billing involves specific codes and documentation for work-related injuries.
3. Authorization and Pre-Approval
Providers often need approval before certain treatments. Ensures necessity and relevance to workplace injury.
4. Fee Schedules
Maximum charges for services set by state regulations. It varies by jurisdiction and impacts reimbursement rates.
5. Coordination with Health Insurance
Health insurance may cover non-work-related issues. Workers’ compensation addresses work-related injuries.
6. Medical Documentation
Detailed reports on diagnosis, treatment, and prognosis are crucial. Used to assess the validity of the workers’ compensation claim.
7. Payment Directly to Providers
Payments go directly to healthcare providers from the insurance carrier. This differs from health insurance, where payments often go to the insured individual.
8. Utilization Review
The review process ensures the necessity and appropriateness of medical treatments. It helps control costs and ensures proper care for injured workers.
