Articles

What to do when you receive an audit letter from an insurance company

Posted on October 19, 2018October 26, 2018 by Paul Walker, Esq.

Whether you are a physician or another type of health care provider, you are in a business relationship with health insurance companies that cover your patients. This proves to be true for those who are in their network and those that are an out–of–network provider. Although you welcome the checks that the companies send to […]

What should a physician do when a health insurer notifies them that their contract will end?

Posted on October 9, 2018October 9, 2018 by Paul Walker, Esq.

Physicians today are at the mercy of health insurers because if you do not have a contract as a “provider” with the insurer then you might very well lose a substantial portion of your income. I just recently had a case where a major insurer wrote to a surgeon and advised that the contract between […]

Warning on Codes for Billing Insurance Companies

Posted on August 13, 2018 by Paul Walker, Esq.

Be very careful when deciding what codes to use in billing an insurance company for your work. The company may report you to the state, claiming that you are committing fraud. Over the last few years I have represented numerous clients, physicians, dentists, dieticians, etc, in claims brought against them by health insurers on numerous […]

How Does A Hearing About Your Health Care Provider License At The Department Of Education Work?

Posted on May 18, 2018May 24, 2018 by Paul Walker, Esq.

If you are a health care provider, a nurse, a chiropractor, a dentist, etc, all disciplinary hearings that could adversely affect your New York State license are held by the Department of Education, Office of Professional Discipline. The Hearings in the New York City area are held at 1411 Broadway, 10th Floor, New York, New York […]