Medical Provider Claims

• Pleadings and initial discovery by applicant: What is required for a medical provider to prepare and file a medical provider application for payment or reimbursement of medical charges, and how to conduct initial discovery to obtain relevant information and documents from the respondent.
• Defending medical provider claims initial evaluation: How to evaluate the merits and risks of a medical provider claim, and how to decide whether to pay, deny, or negotiate the claim, as well as the procedures and deadlines for filing the answer and counterclaim.
• Developing a defense strategy: How to develop and implement a defense strategy for a medical provider claim, and how to use various defense tools and tactics, such as fee schedules, utilization review, medical necessity, causal relationship, and statute of limitations.
• The Wottrich case (decided in 2023, argued by Gregory Lois): How to understand and apply the landmark decision of Judge Leitner in the Wottrich case, which clarified the jurisdiction and authority of the Division of Workers' Compensation over medical provider claims, and how to deal with the implications and consequences of this decision for future cases.

This seminar is designed for attorneys, law judges, and risk professionals who want to update their skills and knowledge in New Jersey workers' compensation law. It will provide you with practical tips, techniques, and examples from expert and experienced instructors and speakers. It will also give you the opportunity to interact with your peers and share your cases and issues.