A New Jersey medical provider failed to select the appropriate cause of action and party to seek recovery for unpaid medical bills. The case highlights the bumping road for NJ medical providers who seek reimbursement in claims involving extra-jurisdictional work-related accidents.
Showing posts with label medical provider claims. Show all posts
Showing posts with label medical provider claims. Show all posts
Saturday, November 18, 2023
Sunday, January 20, 2019
Six-Year Statute of Limitations Governs Medical Claims
In a landmark decision the NJ Court of Appeals held that medical provider claims for expenses in workers’ compensation claims are subject to a contractual six-year statute of limitations. The ruling will have a major impact upon the overburdened state’s Division of Workers’ Compensation (NJDWC) system.
The NJDWC is already recognizing a soaring number of medical expense disputes and it lacks a standardized adjudication process. The Legislature should establish a medical fee schedule and create a separate alternate dispute resolution (ADR) system to adjudicate the medical provider claims.
Saturday, October 21, 2017
Guidelines for Medical Provider Claims - A Valuable Approach
While the vast majority of jurisdictions in the US have the guidance of mandatory workers' compensation medical fee schedules, New Jersey remains one of the very few with no such structure. As I reported earlier, this generates multiple issues in the claims process and creates costly delays in the adjudication of disputes.
Wednesday, December 4, 2013
Discovery Permitted Without Motion in Medical Provider Claims
Medical
Provider Claims (MPC) are now subject to authorized discovery by way of
Interrogatories in NJ workers’ compensation claims. The Director and Chief
Judge of the NJ Division of Workers’ Compensation, Peter J. Calderone, in a Memorandum
issued last week, authorized the procedure.
The interrogatories may not be overbroad and should be specific to the pending matter. Judicial intervention can be requested to resolve any discovery disputes that might arise. Additionally, responses are due 45 days after service.
The interrogatories may not be overbroad and should be specific to the pending matter. Judicial intervention can be requested to resolve any discovery disputes that might arise. Additionally, responses are due 45 days after service.
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