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A substantial
portion of the firm’s practice is dedicated to healthcare
collections and related litigation; securing payment from patients,
Health Maintenance Organizations (“HMO”); insurance
companies, and responsible third parties. As one of the leading
healthcare reimbursement law firms in the Southeast United
States, the firm receives in excess of fifteen million dollars
in annual placements from providers of healthcare, including
acute care hospitals, out-patient facilities, and physician
practices.
The attorneys, paralegals and collectors at Jorge M. Abril,
P.A. have the knowledge and expertise to aggressively pursue
payment from both contracted and non-contracted Healthcare
Maintenance Organizations (HMOs), Preferred Provider Organization
(PPOs), as well as traditional fee-for-service healthcare
carriers, auto, and general liability carriers and workers’ compensation
carriers. We strive to recover the maximum amount of delinquent
healthcare receivables, while aiming to preserve our client’s
ability to again provide medical services and supplies to
its patients, whom may have become neglectful of their payment
obligations.
The firm routinely engages in litigation to secure denial
reversal and payment of claims in the following instances:
- Denials
for pre-existing conditions
- Denials for lack of medical
necessity
- Denials for lack of pre-authorization
- Exhaustion of benefits
- Non-participating provider
- Hospital lien priority and
lien impairment
- Coordination of benefits
- Untimely submission
- Personal injury and third party litigation
- Worker's compensation
- Employer liability
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