Join Us for the Next
TIDA Members-Only Webinar

How to Defend Against Excessive Medical Billing

 

On November 15, 2018 at 2:00 pm EST / 11:00 am PST, TIDA will host a webinar titled
How to Defend Against Excessive Medical Billing, presented by Nancy Fraser Michalski, RN, Elevate Services, Inc. and Jennifer Crow, Scheer Law Group LLP.

Register Today!

 

Description 

As states across the country continue to revise case law on the reasonableness of medical billings and in response to recent rulings in both California Pebley v. Santa Clara Organics (2018) 22 Cal.App.5th 1266, 232 Cal.Rptr.3d 404 and Texas In re North Cypress Medical Center Operating Co., LTD.  (Texas 2018) 61 Tex. Sup. Ct. J. 1038, __S.W.3d __ , courts continue to emphasize that the reasonableness of claimed past medical billings should be determined by a “ battle of the experts.”  Regardless of how individual states determine what plaintiffs are allowed to recover on past or future medical care, all jurisdictions allow evidence on reasonable value.  How do you determine reasonable value of inflated medical bills? What methodology is most effective in conducting a medical bill audit? What best practices can be applied from health insurance carriers? How are audits used most effectively in negotiation? What will the product of a review look like? How do you defend bill reductions? How the evidence is best presented if litigation becomes necessary? How are medical and bill review experts best utilized during both the claims and litigation phases?


 

Speakers

Nancy Fraser Michalski, RN
Vice President & Founder Med Legal

Elevate Services, Inc.

Nancy Fraser Michalski, RN, is a nationally recognized expert in medical billing and bodily injury litigation support services, testifying in both state and federal court.   As V.P. of Elevate Services, Inc. Nancy strategically leads a range of services that improve outcomes, reduce costs and expedite settlements in bodily injury claims and litigation. Nancy received her bachelor’s degree in nursing from the University of Wisconsin-Madison and is certified in Healthcare Management and Development from the University of Southern California.  She served as Director of Medical Billing and Surgical Services for an outpatient surgical center and medical clinic for 17 years. As a registered nurse for over 30 years, she has assisted in more than 10,000 surgeries. Nancy is involved with numerous health information/financial management associations, and sits on the Oversight Committee of LEDES, the global non-profit organization that sets the standards and codes for the electronic exchange of billing information between law firms and corporations.

 


Jennifer Crow
Partner
Scheer Law Group LLP

Jennifer Crow is a Partner in Scheer Law Group's Portland office. She practices in the areas of construction defect, premises liability, personal injury, professional liability, insurance coverage, and commercial litigation. Jennifer is licensed to practice in the state courts of Oregon, Washington, and Idaho, along with the U.S. District Courts for the District of Oregon, District of Western Washington, District of Idaho, and the 9th Circuit Court of Appeals.  She has represented clients in mediations, arbitrations, and both bench and jury trials. Before she entered law school, Jennifer worked in operations finance for a semiconductor company. Jennifer uses this background to help lead her business clients through disputes arising in the course of their operations.

 

 

You must register in order to participate in this members-only webinar.
Because this webinar is intended only for active TIDA members, your registration will be reviewed by TIDA Headquarters.

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