A BETTER CHOICE IN PROMPT PAY DISCOVERY SERVICES
advise any doctor to take any attempt by a physician peer or colleague to discuss his or her care seriously. Should the situ- ation escalate past collegial intervention and should a medical staff launch a for- mal investigation, I recommend a phy- sician retain competent counsel early in the process,” he said.
He suggests physicians undergoing
peer review examine the applicable med- ical staff bylaws and attend meetings to explain their side of the story. “Most institutions follow a formal pro- cess set forth in the medical staff bylaws affording a doctor with adequate notice of the physician’s right to a hearing fol- lowing an investigation, as well as an ap- peal process,” Mr. Hughes said. “Typical- ly, physicians have opportunities along the way to resolve legitimate concerns.” Dr. Mask’s ordeal has a happy ending. He’s practicing unimpeded as an emer- gency locum tenens physician in Texas and New Mexico. He says he learned a lot from his experience and wants other doctors to take note.
A Different Approach to Prompt Pay
At nVenio Analytics, our experts and technology have supported Prompt Pay recoveries for over a decade. Our team will educate your practice to make the prompt pay laws work for you. We will equip your practice with the knowledge to use Prompt Pay laws to prevent further underpayments and late payments from insurance companies. And, we will empower your practice to recover what you are owed.
nVenio Analytics is not a law firm. Our team is composed of successful business executives, medical claims auditors, and financial recovery experts experienced in healthcare insurance and reimbursement practices. Our goal has always been to provide quality service to medical practices, assisting in the recovery of millions of dollars in underpaid and late-paid claims and penalties for our clients.
To learn more about nVenio’s Prompt Pay discovery service contact your local medical society, or contact us directly at 866-274-3122 or visit us online at
PromptPayExperts.com.
“Physicians would be wise to ask each hospital they work with to provide them with a performance report annually. If there’s a problem, physicians need to be sure they know about it,” he said. Should a problem arise, Dr. Mask en- courages his colleagues to contact the TMA Knowledge Center for assistance by phone, (800) 880-7955, or by email,
knowledge@texmed.org.
Aetna to pay $120 million in claims dispute
We are not a law firm, and nVenio Analytics does not provide legal advice. BCMS Group Purchasing
powered by CriticalConnection Doctor Purchasing
DCMS Group Purchasing powered by CriticalConnection Doctor Purchasing
Aetna’s creation of a $120 million fund to pay physicians for out-of-network claims moved closer to reality in Au- gust when a New Jersey federal judge tentatively approved a settlement of the class action lawsuit by the Texas Medical Association and its organized medicine partners. Final approval is set for March. To read the settlement, visit http://bit .ly/16BxmsN.
The $120 million will come in two 54 TEXAS MEDICINE December 2013
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68