Florida Managed Care Lawyers
At the law firm of Michael R. Lowe, P.A., we understand that prompt reimbursement is the lifeline of any medical practice or other healthcare business. So, our lawyers review managed care agreements and handle any credentialing or reimbursement issues for our clients, including;
- Contract review: prompt pay, medical records, terminations provisions, and section 641.315 of Florida statutes matters
- HMO, PPO, and IPA (full risk or capitated contracts)
- Credentialing application issues
- Collecting money owed from managed care or health insurance companies
- Reimbursement disputes
- Overpayments
- Underpayments
- Silent PPO issues
Silent PPOs have become an increasingly common and troublesome situation for many healthcare providers. A silent PPO is an insurance scheme that extracts discounts from physicians without their permission. Specifically, insurance companies with managed care contracting agreements with physicians on a fee-for-service basis will often try to avoid paying the full fee-for-service amount by contacting a broker or PPO that sells rosters of doctors’ names who have contracted with PPOs. The insurer will then, without your authorization, apply a discount which you have granted to a legitimate PPO to your fee-for-service contract, thereby shortchanging you on your fee.
Our lawyers are experienced at uncovering and addressing silent PPOs to help protect your practice from this intrusion. Attorney Michael R. Lowe is Board-Certified in Health Law by the Florida Bar.
To speak to a lawyer at our firm about managed care contracting, credentialing and reimbursement issues, call us at 407-332-6353 or contact us online.
