content top

Information for Medical Professionals: Receiving Proper Compensation through the Texas Prompt Pay Act

American health care is generally regarded as more expensive than in other countries. An article published by The Washington Post cites a survey conducted by The Commonwealth Fund ranking the cost and efficiency of the health care systems of a number of different. The survey concluded that the United States is home to the most expensive but least effective health care system compared to other industrialized western nations. While the U.S. spends an estimated amount of $8,508 per person on health care services, the United Kingdom—which had ranked first on cost and quality—spends more than half at $3,405 per person.

Due to such expensive medical costs, plenty of Americans rely on health insurance coverage in order make payments that they might not otherwise be able to afford. Unfortunately, the health insurance system isn’t always without certain flaws. As it happens, there have been several instances when medical professionals are not properly reimbursed through these benefit programs. As noted by the American Medical Association, a lot of health care workers have reported failing to receive timely compensation from insurance companies meant to reimburse them for the cost of services they’ve rendered for patients relying on financial assistance. In certain cases, some physicians noted that receiving compensation from insurance providers can take as long as 6 months.

This is where the Texas Prompt Pay Act of 2003 comes in. Physicians and other health care professionals working in Texas are allowed to make claims for compensation from health insurance companies through an established system mandated by state law. As noted on the website of Williams Kherkher, insurance providers that are unable to deliver on the reimbursement within a specific schedule can end up facing a number of serious penalties. These penalties can end up doubling the amount required from insurance providers, as well as causing them to pay additional fees.

Read More

Personal Injury Protection: Do You Need It?

As data from the United States Census Bureau suggests, car accidents are a prevalent problem across America. According to the bureau’s 2012 statistical report, an average of 10.6 million vehicular crashes was reported annually for the years 2004 until 2009. Such an alarming figure only goes to show that anyone commuting on roads and highways face significant risks that could lead to dangerous situations. To safeguard the public from the devastating blow caused by car accidents, a number of states require drivers to hold Personal Injury Protection or PIP Insurance.

Personal Injury Protection is required in the states of New York, Pennsylvania, New Jersey, Michigan, Minnesota, Florida, Kentucky, Kansas, Hawaii, and the District of Columbia. It is basically a type of insurance coverage applicable for no-fault accidents. Through PIP coverage, individuals are able to receive compensation for medical costs and other related expenses that come in the aftermath of a car crash, regardless of who or what may have caused the accident. State laws require drivers to hold a minimum amount for PIP insurance, although drivers may purchase higher premiums to receive more coverage in case the worst does happen. As pointed out by the website of West Palm Beach personal injury protection attorneys Schuler, Halvorson, Weisser, Zoeller & Overbeck, P.A., drivers in Florida are required to have a minimum of $10,000 PIP coverage.

Individuals residing outside the ten states requiring Personal Injury Protection have several other options for insurance coverage that can act as a safety net for no-fault car accidents. A lot of insurance companies provide coverage programs that help protect drivers and passengers from unprecedented events. However, it’s also important to note that not all insurance companies follow the practices required of their industry. Keep in mind that some insurance providers commit bad faith and other predatory practices.

Read More
content top