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No-Fault and Healthcare Law Lawyers

What is No-Fault?

Technically speaking, No-Fault refers to claims arising under The Comprehensive Motor Vehicle Insurance Reparations Act, more commonly known as PIP (personal injury protection) or MVA (motor vehicle accident). The No-Fault law was created to ensure that insurance companies would promptly pay for medical expenses, lost wages, and other costs resulting from MVAs, no matter who was to blame for the accident. Unfortunately, many healthcare providers have found it difficult to collect payment from No-Fault carriers after rendering medically necessary services.

As a healthcare provider, when your claims are consistently denied, it is an economically challenging situation, frustrating your ability to continue to provide appropriate services to your patients. Furthermore, once No-Fault has been identified as the primary payer and an assignment of benefits has been accepted, your right to seek recovery directly from the patient is extremely limited. As such, the only viable way for healthcare providers to seek recovery of their unpaid/underpaid No-Fault billing is to pursue No-Fault carriers in either arbitration or court.

Why Us?

Horn Wright, LLP specializes in No-Fault collections, consulting, and compliance. We are the largest provider of legal services to New York State hospitals in this specialized area. To date, we have recovered over $100,000,000.00 for our clients on their unpaid/underpaid No-Fault claims. [1]

At present, we represent over 60 hospitals, 100 physician practices, 30 EMS providers, as well as ambulatory surgery centers and radiology practices. We have developed protocols and systems specifically designed to maximize voluntary payments received and, in the event of a refusal or failure to pay, to pursue post-denial recovery. Our one-of-a-kind proprietary software gives us the capacity to handle the high volume of No-Fault claims that are referred to us for arbitration. We seek recovery on all viable bills, no matter the size, setting us apart from other No-Fault collection firms. Additionally, we provide our clients with “the next step”, identifying other avenues for potential collection when reimbursement cannot be obtained from the No-Fault carrier.

For those healthcare providers that have not previously had representation in this area, there is the possibility of obtaining recovery on unpaid/underpaid bills that are up to six years old. Furthermore, once a claim is filed in arbitration, statutory interest begins to accrue at the rate of 2% per month (i.e., 24% per year). As such, by conducting an analysis of a new client’s aged Accounts Receivable (AR) and identifying denials that are ripe for arbitration, we have the ability to turn prior write-offs into income.

Who We Represent?

  • Hospitals – ranging from small community critical access hospitals to the largest health system in New York State.
  • Ambulatory Surgery Centers
  • Ambulance/EMS Providers
  • Radiology Practices
  • Physician Groups
    • Anesthesiology
    • Internal Medicine
    • Orthopedics
    • Pain Management
    • Physical Medicine & Rehabilitation
    • Neurology
  • Physical Therapists
  • Acupuncturists and Chiropractors
  • Suppliers of Durable Medical Equipment (DME)
  • Pharmacies

What Services Do We Provide?

The lawyers of Horn Wright, LLP provide collection, consulting, and compliance services. However, from time to time, a practice will receive notices and lawsuits that are unique to No-Fault, and which require the assistance of counsel familiar with all aspects of No-Fault and secondary billing. Our attorneys are well versed in and routinely handle these issues, some of which are outlined below. We are All Things No-Fault.

  • Restitution/Subrogation Lawsuits - If a healthcare provider mistakenly bills an MVA related claim to a secondary payer and receives payment, said provider may later receive a lawsuit seeking restitution. These types of lawsuits may be commenced by the patient, the secondary payer (i.e., Medicare, Medicaid, etc.), or by a third-party subrogation company, like The Rawlings Company.
  • Examinations Under Oath (EUO) and Verification Requests
  • On-site Inspections
  • Article 75s, De Novo, and Declaratory Judgment Actions
  • Civil RICO Defense
  • Corporate counsel services: corporate formation, vendor contracts, compensation agreements, and lease negotiations.
  • Interaction with the Department of Financial Services (DFS) and American Arbitration Association (AAA) on issues impacting our clients.

Why Our Hospital Consulting Services Work

In recent years, we’ve seen significant changes in the fields of No-Fault and Healthcare. Through these changes, we have been able to ensure that our clients’ rights remain protected with every passing trend. With our guidance, professionals in the hospital industry can successfully collect the money due to them for the treatment rendered to their patients.

The Firm offers the following No-Fault consultation services to hospitals:

  • In-depth educational seminars
  • Revenue cycle consultations
  • Analysis of write-offs and aged accounts receivable (AR)
  • Billing practice protocols
  • Intake processes

Today, we are recognized as leaders in the movement to arm hospitals and other medical providers with the tools needed to combat non-paying, No-Fault carriers and to obtain optimal results in the collection process. We understand that the No-Fault billing may not account for a significant amount of your practice’s revenue. And, before deciding to engage in the collection effort, we would expect that the aged accounts receivable and non-fee schedule write-offs would be reviewed. We assist in this endeavor. In order to see if there is the possibility of meaningful recovery for your practice, the Firm offers a complimentary analysis of your aged No-Fault Accounts Receivable and write-offs.

Turn to our New York law firm today so that we can begin working on your case immediately! Contact us now.


What Sets Us Apart From The Rest?

Horn Wright, LLP is here to help you get the results you need with a team you can trust.

  • Client-Focused Approach
    We’re a client-centered, results-oriented firm. When you work with us, you can have confidence we’ll put your best interests at the forefront of your case – it’s that simple.
  • Creative & Innovative Solutions

    No two cases are the same, and neither are their solutions. Our attorneys provide creative points of view to yield exemplary results.

  • Experienced Attorneys

    We have a team of trusted and respected attorneys to ensure your case is matched with the best attorney possible.

  • Driven By Justice

    The core of our legal practice is our commitment to obtaining justice for those who have been wronged and need a powerful voice.