South Florida Hospital News
Friday October 23, 2020

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May 2020 - Volume 16 - Issue 11


Ged Lawyers: Creating Cash Flows Remotely for Providers

The coronavirus pandemic has made a significant impact on all families, businesses, and healthcare organizations across Florida. During today’s uncertain and unprecedented times, healthcare organizations and medical practices should not have to worry about putting off any legal challenges as it relates to their revenue cycle process.

While their physical office may be closed, Boca Raton, FL-based Ged Lawyers, LLP, remains open as a virtual law firm working toward resolving cases. Although many businesses, practices, and law firms are abiding by shelter-in-place recommendations, that doesn’t mean professionals cannot continue to serve clients.
The law firm expects to continue to deliver the same high level of service even during the mandatory closures of offices, schools, businesses, and even courthouses. In fact, many will not even notice a change in services but will be pleased to know that Ged Lawyers will continue to effectively work on their cases. 
Some of the ways they can manage this is through:
• Secure sharing of legal and financial documents via a secure program
• Scheduling telephone conferences to address questions, concerns, or updates on any cases
• Scheduling video conferencing for those with access and who prefer virtual face-to-face communication
“A majority of our clients are not remote but we’re converting them to remote clients,” says Marius J. Ged, one of the partners with Ged Lawyers. “With the technology available to us now, you can easily do that.”
As an example, Ged Lawyers are still helping its clients, medical practices and hospitals, collect overdue and underpaid Personal Injury Protection (PIP) benefits. PIP coverage pays up to $10,000 of the medical expenses of a patient when he or she suffers any injuries in a car accident—no matter who is at fault. PIP may also provide coverage of lost wages in certain circumstances. The intent of this law, passed in 2012, was to reduce auto accident fraud, lower the cost of auto insurance premiums, and reduce litigation costs.
Under the Florida No-Fault Law, they have 30 days to pay the provider. However, Ged notes that these claims often represent the worst-performing revenue stream for hospitals. The law firm can help providers review the intake forms virtually to ensure the provider is capturing of all necessary information.
“Hospitals and medical practices are missing a significant stream of revenue under the No-Fault Law,” says Ged. “As a result of COVID-19, most medical offices are closed and hospitals are not performing some medical procedures which are hurting their cash flow.”
In addition to recovering this lost revenue for current claims, Ged says they can help with the recovery of forgotten PIP receivable accounts through a retrospective audit.
“Under the Florida statute, we can go back five years and audit unpaid bills because the claim is based on a breach of contract,” says Ged. “This is a great time to engage us because we audit files remotely, remain completely COVID compliant, and get a cash flow going.”
Through a retrospective audit, a healthcare provider authorizes access to the Ged Lawyers’ audit team for their PIP billing cases. The audit process begins by indexing each case and applying its internal algorithm.
“We use a remote secure connection and log right into a provider’s billing system to get all the files we need,” says Ged. “We have our own propriety software that scans and reads the medical bills. We can apply a legal lens on top of the medical bill, review the CPT code, and are able to find out if it was paid for properly.”
If they identify overdue benefits under the No-Fault Law, a Statutory Demand letter is sent to the insurance carrier. If necessary, Ged says they will file a lawsuit to collect overdue benefits and litigate through final judgment.
“A carrier has 30 days to respond to a demand letter,” adds Ged. "85% of the time they will pay the hospital or medical practice. We make the process seamless and take the burden off hospital employees who can focus on other things.”

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