Doctors and medical groups that face frequent battles with insurance companies to get full and fair payment of insurance claims lose revenue in a couple of different ways. First, when an insurance company wrongly denies or reduces a health care provider reimbursement claim, the medical group loses that revenue. Second, the medical group loses revenue because its members must spend valuable time trying to collect on reimbursement claims.
When insurance companies wrongfully delay, reduce or deny reimbursement claims from health care providers, they may be committing insurance fraud. In such cases, the medical group affected has the right to file litigation against the insurance company or companies at issue.
The nationwide class action and complex litigation law firm of Quantum Legal LLC (formerly Complex Litigation Group LLC) represents medical groups and state medical associations in claims to recover revenues lost due to wrongful delay or denial of health care provider reimbursement claims. From our home office in the Chicago, Illinois, area, our attorneys represent individuals, small businesses and interest groups across the United States.
To learn more about claims against insurance companies for failure to properly reimburse health care providers, contact the claim denial management and litigation lawyers of Quantum Legal LLC. Call toll free 866-779-9610 or send us an e-mail describing your situation and questions.
Examples Of Revenue Recovery Litigation
The ways in which insurance companies delay, underpay and deny claims are limited only by the imagination. New forms of medical reimbursement fraud frequently come to light. Litigation to recover lost revenue from insurance companies may be based on circumstances, including, but not limited to, the following:
- Violation of state prompt-pay laws
- Managed care contract underpayments
- Improper rate reductions based on faulty data in insurance companies' cost containment software
- Unauthorized discounts by so-called "silent PPOs"
- Post-treatment rescission of patients' medical insurance
Learn more about our past successes on behalf of medical providers by reviewing our notable cases.
Contact Our Health Care Provider Reimbursement Attorneys
Get honest, straightforward answers to your questions about medical reimbursement fraud from attorneys with experience in this complex area of law. To contact Quantum Legal LLC, call toll free 866-779-9610 or contact us online.