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What you can do to get your patient's insurer to pay

Article Abstract:

Physicians can use a number of techniques to compel insurance companies to pay for medical treatment for which they resist paying. Insurance companies most frequent reasons for denying payment are that the patient has a preexisting condition, that the treatment is experimental or that the charge is too high. For example, physicians should be prepared to send information on how they derived their fee in case the insurance company complains of an excessive charge. If a treatment may be deemed experimental, physicians should include articles and statistical data on the treatment and the names of other physicians who have used it.

Author: Goodwin, Julie A.
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1993
Accident and health insurance, Health insurance

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Reduce your liability for pension plan investments

Article Abstract:

Physicians must protect themselves against liability for mismanagement of their employee pension or profit-sharing plans. Methods for reducing a physician's vulnerability to liability claims include employing and monitoring the work of experts and advisors to help administer the plan. Another such method is to set up a participant-managed plan. Although physicians cannot totally avoid some liability, bringing in qualified financial advisors is the best way to avoid a law suit.

Author: McGee, Judith Headington
Publisher: American Medical Association
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1993
Pension funds

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Subjects list: Management, Physicians, Medical professions
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