We Fight Tirelessly For You
Medical Debt Defense Attorney in Long Island
Easing the Stress Associated with Medical Debt
When you receive medical treatment, you expect the administrative office to manage the billing appropriately. They should run all necessary procedures through your insurance, and your insurance should, in turn, cover everything according to your policy. You are given a final bill for your treatment, and you pay it off. The story should end there.
Often, however, you find surprise bills in your mailbox weeks or months later. Do not pay any of these expenses. Contact us first for a free consultation. At the Law Office of Gregory A. Goodman, P.C., our Long Island medical debt defense lawyer knows your rights.
Ask us about filing a lawsuit on your behalf against the healthcare provider and the third-party collection agency at no cost to you. Call (800) 242-3740 or contact the Law Office of Gregory A. Goodman, P.C. online.
How a Medical Bill Lawyer Can Help
Our firm can investigate the validity of these unexpected bills. We can craft your response letter, helping ensure that you pay only what you expected. Taking the matter completely out of your hands, we can help you rest easy.
Types of Medical Bills You Might Receive
Surprise bills expect you to pay for the following:
- Partial Payment of Services Rendered, even though you should have been covered
- Full Payment of Services Rendered, even though you should have been covered
- “Balance Billing” – this is when the healthcare provider claims that insurance did not pay your bill in full. Therefore, it charges you the difference.
Unexpected Medical Bills
Below are some examples of unexpected medical bills that you may receive:
- Collection Letter Medical Bills/Medical Debt – Do not pay or speak to any collection agencies, debt buyers, collection attorneys, or third-party collectors. Reach out to a Long Island medical bill debt attorney instead.
- Surprise Medical Bills/Medical Debt – We've represented individuals and families who have received “surprise bills” for services that should have been covered under their health care plan. If the provider is coming after you for payment, do not pay! Talk to a medical billing advocate today.
- Emergency Service Medical Bills/Medical Debt: If you have received an emergency service bill for emergency services that should have been covered by your health care plan, call our office to explore your rights. Our law firm has successfully collected money for our clients and extinguished their debt by bringing several affirmative action against the healthcare provider and third-party collection agencies in both State and Federal Court for violations under both Federal and New York State Law. Click here to see success stories.
- Lawsuits Seeking Collection of Medical Bills/Debt: If you received a lawsuit, just been served, or are involved in litigation whereby a healthcare provider or debt buyer is seeking reimbursement regarding alleged unpaid medical bills and debt, contact us to represent you. You are not alone.
- Doctor/Hospital Seeking Difference in Fee Schedule Reimbursed: If you have insurance and the healthcare provider is now seeking reimbursement for the difference and payment balance, contact us first before paying anything.
- Denial of Medical Treatment: Our firm represents patients and individuals in appeals to have insurance companies cover healthcare and emergency services, rather than putting the burden on you. There are many steps that we can take which may result in saving you thousands of dollars. These steps include:
- Detecting errors in medical bills and correct overcharges or duplicative billing practices
- Making sure that the medical services are billed at the fair and reasonable prices as dictated by the law
- Appealing denials that have been made by your insurance company
- Defending unpaid medical bills in court or hearings
- Representing cases of denial of medical treatment
- Handling internal appeals and Article 78 proceedings
Options for Resolving Medical Debt
If you are struggling against medical debt, you do have the option of filing for bankruptcy. Generally, the better option is Chapter 13 or Chapter 11 bankruptcy. These options allow you to pay the medical debt over a set period of time. Filing for Chapter 7 bankruptcy is also an option, however not typical due to debtors’ income and assets.
However, filing for bankruptcy is not always the best option. In other cases, a Long Island medical bill lawyer like attorney Gregory A. Goodman can be an advocate for you. Backed by years of experience, he can take a look at your situation and guide you through wrongful billing. If a contract was not fulfilled completely, or if there was no informed consent, know that you have rights as a consumer. Let our seasoned medical debt collection defense attorney help you.
How to Fight a Medical Bill
Before fighting a medical bill with a lawsuit, it is important to fully understand the situation and ensure that there is an error. Mistakes do happen and it is possible that the person made a simple processing mistake
Research and Understand the Situation
If you are contacted by your medical provider’s billing department regarding a medical bill, be sure to take notes.
Make note of the following:
- Date and time of interaction
- First and last name of the person you spoke with
- Details of conversation
- Specific timelines regarding when something will be resolved and when you are supposed to follow up if you do not receive contact
- Take screenshots via your computer or mobile device
- Request forms in writing
If your investigation involves written correspondence, keep a copy of everything you send along with the proof of when it was mailed. Be sure to send documents via certified mail with a return receipt, which should be kept with your files.
Review Your Bill and Explanation of Benefits
Be sure to carefully read your explanation of benefits and your medical bill. Understanding your benefits and how it applies to your bill will help you identify any mistakes. Your medical bill should match your explanation of benefits exactly. If you see any discrepancies, then that is an error.
Request a Line-Item Bill
If you believe there is a problem with your medical bill, contact your healthcare provider’s billing department and ask for a detailed line-item bill. You may even be able to log into a portal to download this online and print it out.
What to look out for in a detailed medical line-item bill:
- Date and Time
- Medical billing CPT codes
- Total prices
- Insurance adjustments
- Patient amount due
Contact the Medical Billing Department
When you identify the issue, reach out to the billing department and inquire regarding your bill. The representative will give you the option of disputing the bill. If the issue is simple, it is possible to fix it right then and there, however, not all medical debt matters are easy.
If you find yourself in a complex situation involving your medical provider and your bills, reach out to an experienced medical bill lawyer in Long Island at The Law Office of Gregory A. Goodman, P.C.
If you have just been involved in an automobile accident—no matter how severe you think it is—there are several important things you keep in mind to preserve and protect your rights under the law.
Here are a few important steps and actions you should follow immediately following your accident:
- Seek immediate medical attention if injured. Be sure to document everything.
- Inform any and all healthcare providers of your injuries, complaints, medical history, and pain. Tell your doctors each and every area of pain, no matter how slight the pain is. Properly and honestly documenting your complaints can be the difference between successfully recovering on your case.
- Take photos of any and all injuries.
- Take photos of any vehicles involved in an accident.
- Take photos of your car—documentation is vital.
- Report to the police if they did not arrive.
- Get a copy of the police report.
- Review police report and make corrections with a police officer.
- Keep a detailed accounting of any expenses you have accrued as a result of your accident, including gas and mileage costs incurred from traveling to and from your doctor’s office for treatment related to injuries sustained from your automobile accident, lost time from work, unpaid bills, co-pays if applicable, etc.
- Immediately contact and report a claim to your insurance carrier A.S.A.P. (There are strict time requirements and documents you need to send to your insurance carrier. We can fully assist you with this process and handle most of these actions for you when retained)
- Complete and submit an application for a no-fault insurance claim (NF-2), which will enable you to receive medical treatment for the injuries you sustained in your automobile accident.
- Get an insurance claim number from your insurance carrier and the defendant’s carrier.
- Contact us immediately to discuss and preserve your rights. We will offer you a free consultation.
Along with what you should do, here are some important things not to do:
- Do not discuss or share any of the details of your accident or injuries with anyone except your attorneys.
- Do not post any details or photos regarding the details of your accident and injuries to Facebook, Twitter, or any other social media account. This information can be used against you and is often discoverable, which means you may have to share this information with the defendant should you pursue a lawsuit.
- Do not spare any details to your healthcare provider about the full extent of your injuries. Documenting the full details of your injuries and complaints can increase the chances of your success. Failure to document and failure to disclose honestly the details can result in decreasing your chances of recovery on your claim.
- Do not enter into an agreement with an insurance carrier without first consulting and retaining an experienced personal injury trial lawyer. Sometimes, when an insurance carrier knows they are liable, they may try to offer the victim money in an effort to save money. Their strategy is to get to you before you seek legal representation and before you know your legal rights.
Property owners are expected to keep their premises safe. If you injured yourself in a slip and fall accident, you need to prove that the owner likely knew about the dangerous area, failed to repair it, and failed to warn people about the dangerous condition. Photo evidence is crucial, as well as proof of the owner’s awareness of the defect and their failure to repair it. It also helps to have a Long Island personal injury lawyer on your side who can help you establish a strong case for compensation for your injuries.
The goal of no-fault insurance is to make sure all victims of an accident are cared for, regardless of who caused the accident. This means the insurance policy should cover medical costs and hospitalization fees, lost wages, and any funeral expenses incurred.
As a physician, can an insurance carrier withhold payment of my fee if I split fees with a billing agency?No. Splitting fees with a management company is not a crime. In 2015, an insurance carrier tried to withhold payment of a provider’s medical fees by claiming that their management agency—which collected 6% of their total costs—was not medical staff. This was an attempt to argue that the healthcare provider was committing fraud, but the court ruled against the insurance carrier.
Yes. If you want to be reimbursed for medical costs, you are required by law to appear. However, you do not have to appear alone. The Law Office of Gregory A. Goodman, P.C. can represent you during your EUO to help you avoid making any statements that would injure your ability to obtain full and fair compensation.