In 2003, Texas passed legislation to help doctors receive compensation from insurance companies in a timely manner to help them continue with their day-to-day business practices. Qualifying medical care providers may be eligible to file claims against insurance companies who have denied them timely payments. According to a the website of Williams Kherkher, medical practices which are not compensated by insurance agencies are, in fact, entitled to fair compensation through a legal suit, thanks to the Texas Prompt Pay Act.
Why would doctors file a claim?
After a doctor performs a service for their patient, the patient pays by providing their insurance information. Doctors then file claims with the insurance provider for compensation for their services. In a perfect world, the repayment is provided by insurance companies in a timely manner (within 45 days of a non-electronic submission of a claim, within 30 days of an electronic submission). However, this is not always the case.
There are some provisions that medical practices must meet tin order to be eligible to recover funds. There must be an existing contract between the doctor and insurance provider. Only insurance plans such as health maintenance organizations, or HMOs and preferred provider organizations, or PPOs, are obligated to repay doctors fully under the Texas Prompt Pay Act, or face litigation. Medicare, Medicaid, government, school plans and the like are not held liable under the act.
Although the Texas Prompt Pay Act is designed to protect medical practices, it is quite common to hire a lawyer to oversee the process of recovering payment from insurance companies.
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As the American population of baby-boomers steadily ages, the reality of placing loved ones in nursing homes or assisted care facilities is becoming more prevalent for many families. However, as more elders are left to the trust of nursing homes, the instances of nursing home neglect or abuse are rising, as well.
The National Center on Elder Abuse defines elder neglect as intentional actions causing harm or creating risk of harm to a vulnerable elder by caregiver or other person of trust. Instances of elder neglect can be common in nursing homes, especially where a multitude of residents are dependent upon the caregivers who work there and must attend to all residents. The large population of residents compared to the few caregivers employed leaves the elderly vulnerable, in addition to the various medical conditions that ultimately land people in nursing homes.
According to the website of the Goings Law Firm, LLC, nursing home neglect can take many different forms, including malnutrition, bed sores, physical, sexual and psychological abuse, and even theft.
Aside from the obvious physical effects of nursing home neglect, other impacts take a toll on the health of elders. Elder abuse has been linked to higher risk of death, feelings of lower self-efficacy and self-sufficiency, and substantial financial costs for their families, and unfortunately, cases of neglect and abuse often go overlooked.
Although the circumstances are unfortunate, many families do get justice for their loved ones through lawsuits, and according to a 2012 report, 1 in 3 nursing homes had been cited for violations of federal standards. As discussed on the website of Habush Habush & Rottier S.C. ®, Whether or not the harm is intentional, abused elders and their families may have grounds for a lawsuit against the facility at fault.
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Medical malpractice and medical mistakes are unfortunately a grim reality, affecting many. Medical malpractice or mistakes can include anything from wrongful death to improper treatment.
Cerebral palsy can be a result of one of many possible medical mistakes that doctors can unfortunately make while in the delivery room. According to the website of Crowe & Mulvey, LLP, some cases of cerebral palsy can be preventable, and therefore the fault of the doctor at the birth of the child, when surgical or anesthesia errors occur, or misdiagnosis or delayed diagnosis take place.
Cerebral palsy is caused by damage to the developing brain or in early childhood. Medical malpractice can be to blame if the doctor makes mistakes such as leaving the baby in the birth canal too long, improperly uses tools, or fails to perform a necessary cesarean section.
Cerebral palsy manifests itself at a very young age in children, often resulting in stiff or weak muscles, poor coordination, and difficulties talking and swallowing. It is a non-progressive disorder, meaning it does not worsen once detected in children.
There is no definite cure for cerebral palsy, only support and therapy systems to help those that have cerebral palsy live a more comfortable life.
The website of Habush Habush & Rottier S.C. ® states that when medical malpractice or medical mistakes, such as cerebral palsy caused by a doctor’s negligence, occur, the responsible medical entity can be held liable for the consequences.
A local lawyer can often help families determine whether or not their child’s case of cerebral palsy was the result of medical malpractice, and can help them seek compensation.
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A typical, routine trip to the dentist usually does not involve much intensive surgery or many invasive procedures. However, the little things around the office, such as the sights and sounds of a dental practice, can often, and understandably, cause anxiety in patients.
According to the website of Dr. Sid K. Steadman D.D.S., dental anxiety is very common and affects many nationwide. In fact, between 9 and 15 percent of Americans avoid seeing the dentist regularly because of fear and anxiety, according to the Colgate Oral and Dental Health Resource Center.
A quick search will reveal many different ways to cope with this anxiety, and alternatives to ensure the patient has a comfortable experience at the dentist.
Being vocal about anxiety and fears with your dentist in advance of procedures can help doctors adjust treatment to suit your needs.
Choosing a time to go to the dentist where you will not feel rushed can help by alleviating other stresses and will thereby help to relieve overall dental anxiety.
Wearing headphones can help drown out many sounds that are common in a dentist’s office to help you unwind and will serve as a distraction.
Sedation dentistry can also be a viable option for patients experiencing dental anxiety. Dental practices offer sedation dentistry services to meet the needs of their clients with dental anxiety, as well as to those who experience major discomfort at the dentist. Many local practices are now offering this service.
Sedation dentistry is used in many different cases ranging from invasive procedures to routine cleanings for those who experience discomfort at the dentist’s office. Different levels of sedation are also offered for different procedures, different patients and at different practices.
Contact your local dental practice to see what kind of sedation dentistry services they offer to suit your needs.
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