Getting Underpaid by PIP Insurance? We Can Help

Hospitals, doctors offices,diagnostic centers and other medical providers in the state of Florida are missing out on millions of dollars in unpaid and underpaid Personal Injury Protection, or PIP, benefits from insurance companies. These claims are for medical services provided to patients involved in car accidents.

No Legal Fees

The attorneys at Buckman and Buckman, P.A., can help you get the money you’re owed at NO COST to the hospital or your medical practice.

How It Works:

• We Come To Your Office
  Our attorneys will come to your office and comb through and review all of your PIP claims, past and present. We follow all HIPAA laws and use its independent contractor agreements. We will determine which claims appear to be underpaid or wrongly denied by insurance companies.
• We Notify Insurance Companies
  We send a written demand letter to the insurer on each underpaid claim to inform the company it has 30 days to pay the claim in full, plus penalties and interest. We let the company know if this payment is NOT made, we will file a lawsuit.
• You Receive 100% Of The Underpayment
  Our Law Firm’s payment will come out of the penalty and interest. You, as the medical provider, will receive 100% of the reclaimed payment.

Aren’t Our Attorneys and Collection Agencies Already Doing This? Probably not.

Here’s why:

• It’s likely your office or hospital is billing the primary insurance.
• If that insurer doesn’t pay, you file with the secondary insurer.
• If the secondary insurer doesn’t pay, your office likely turns over the claim to a collection agency, which takes a large chunk of what it recovers.
• When collection agencies go after patients for payments, the patients are often not able to pay.

Our Attorneys will hold these insurers accountable and demand they pay your claims in full because it’s the law. The attorneys at Buckman and Buckman, P.A., are among the few law firms in the country that handle PIP collection cases. We are here to help you get the money you are owed, and it won’t cost you anything for our work because we are paid from the penalties and interest.

Contact Buckman and Buckman, P.A. Sarasota business lawyers, now. We will help you recover underpaid PIP claims for your medical practice.

Why is This Happening? A Quick History:

In 2007 the Florida legislature passed a law in an attempt to cut down on PIP fraud by decreasing reimbursements to medical providers and hospitals. Many questioned how this would deter fraud and instead just saw it as a way for insurance company profits to go up, while money owed to health care providers went down.

On January 1, 2008, PIP insurers announced that this new law allowed them to reduce reimbursements to 75 percent of medical providers’ standard charge for services. Most auto insurance companies started applying an across-the-board 25 percent cut to all reimbursements. Medical providers went along with it, but there was a problem.

The insurance companies interpreted the law incorrectly. They kept their full-coverage policies in place, but were only paying 75 percent. That’s not full-coverage.

The policies said the insurance company would pay the “reasonable charge” for health care providers’ services, not just 75 percent of that charge.

In 2011 and 2012, appellate courts clarified the law and held insurance companies responsible for paying those claims in full. During that time period, and possibly after, hospitals and providers lost out on millions of dollars that they are still owed and can claim now.