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Medical provider claims are among the most challenging and contentious issues in New Jersey workers’ compensation law. These disputes involve medical providers, employers, and insurers, all grappling over payment for injured workers’ medical treatment. In this seminar, you’ll learn how to effectively handle various stages of medical provider claims.
Join Greg Lois, on Monday, August 5, 2024, at 1PM EST, for this informative seminar and enhance your skills in handling medical provider claims effectively!
Course Outline
Pleadings and Initial Discovery by Applicant
Requirements for medical providers filing applications for payment or reimbursement
Conducting initial discovery to obtain relevant information from the Applicant, including amounts paid in other claims.
Defending Medical Provider Claims: Initial Evaluation
Evaluating the merits and risks of medical provider claims
Deciding whether to pay, deny, or negotiate the claim
Filing answers and counterclaims within deadlines
Developing a Defense Strategy
Implementing defense tools and tactics (fee schedules, utilization review, etc.)
Addressing medical necessity, causal relationship, and statute of limitations
Understanding the Wottrich Case
Analyzing Judge Leitner’s landmark decision on the Division of Workers’ Compensation’s authority over medical provider claims
Greg Lois is the Managing Partner of Lois Law Firm LLC. Greg is the co-author of the LexisNexis “Practice Guide to Workers’ Compensation in New Jersey” published by Matthew Bender (2017-2024, ISBN:9781663363053). In October 2019, Greg earned the designation “Certified Litigation Management Professional (CLMP)” at the Litigation Management Institute hosted at Loyola University Chicago School of Law.
Greg Lois represents employers, self-insured companies, third party administrators, and insurance carriers in workers’ compensation matters. Greg has served as lead attorney on more than 100 trials involving workplace discrimination, workers’ compensation, and civil claims.
New York Workers’ Compensation Defense at Lois Law Firm
We represent insurance carriers, self-insured employers, third party claim administrators, and employers before the New York State Workers' Compensation Board. We handle cases from cradle-to-grave. We want to be by your side, moving cases aggressively to closure from the start of litigation all the way through to settlement.
We only assign one attorney and one paralegal to each case. This means that your team members always have one contact to go to for any questions. We do not have 'hearing attorney' or a 'negotiation attorney' or 'appeal department' or anything else! All of our attorneys handle all of those roles – meaning cases are not 'passed around' as they move through the litigation process. Your risk professional or adjuster always knows who is assigned – because the attorney does not change.
