Frequently Asked Questions
1. What are my out-of-pocket costs?
If the Law Firm accepts the case, on a contingency fee basis, then we advance all expenses and costs for litigation.
2. What are the fees?
Most of the other Law Firms accepting Prompt Pay Cases are charging 50% of the recovery. Our Law Firm is charging substantially less with a 40% contingency fee – call us and we will explain in detail how we are only paid if and when the matter is settled or resolved or tried and how your Health Care Organization benefits from our fee structure.
3. How much of my staff time is required?
If you have computerized 835/837 data, only about three hours of staff time is needed.
4. How long will it take?
On average, it will take about 9-12 months to complete the claim process.
5. Didn’t our Collections Department already collect the money we were owed?
No; Your Collection Department has collected part of the money or moneys due, we will collect the rest for you. Collection Department are not recovering late payment penalties, statutory penalties, interest penalties and attorney fees.
6. Are there going to be any problems with HIPAA?
Protective Orders created during the Arbitration process will protect the data.
7. Do I have to show up at arbitrations?
Generally, no; we may request that a staff member be present to represent your business. It should be noted that the arbitrations usually only last 1-2 days.
8. Why haven’t health care providers taken advantage of these State Laws in the past?
Two Fold. First, recent decisions by the Fifth Circuit Court of Federal Appeals has made it clear the Texas Department of Insurance (TDI) can regulate the rate and timing of payments of undisputed validity. As a result, Texas health care providers are now entitled to prompt payment of clean claims within the statutory provisions. Thus, as long as the billing department properly submitted Clean Claims to the health insurance carries, substantial penalties can now be recovered for the doctor or medical provider. The amounts due to the medical providers are recovered thru a legal arbitration process. The amount due to the medical provider can total hundreds of thousands, if not millions, for any and all slow payments received by the medical provider in the last four years.
Second, the upfront and speculative cost of retaining a law firm to fight this issue was cost prohibitive in the past. However, due to the fact that we are now accepting these claims under a Contingency Fee Basis, there is no out-of-pocket cost for you. We will advance the expenses of determining how much money you are owed and proving up your case; and we are only reimbursed for these expenses if there is a successful recovery.
9. What is this going to cost my Health Care Practice?
Nothing. We will work for you on a contingency basis. We don’t get paid if we don’t recover for you. The risk is ours.
10. What does it cost to have a Confidential Consultation with the Lead Lawyer on this Project?
Nothing. Board Certified Attorney Paul Sadler, with the Carabin Shaw Law Firm will sit down with you for free, in a private meeting, with no obligation and will answer your questions or concerns.
Call and speak with Attorney Paul Sadler about Prompt Pay. Call 210.222.2288 or Toll Free 1.800.862.1260.