General Contract Provisions and Attachments As mentioned, Provider Agreement content falls into four broad categories. The first two, Introduction and Provisions Specific to...
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Manziel Law Offices
We welcome the privilege to discuss legal services with you and your organization.
Manziel Law Offices, PLLC represents hospitals, physician practice groups, hospices, rehabilitation facilities, and other medical providers in the area of maximizing healthcare commercial reimbursement from a multitude of payors and/or resources including managed and non-managed care payors, ERISA plans, workers’ compensation carriers and plans, estate and probate, organizations in bankruptcy, as well as others imposing difficulty and/or issues.
Over more than the past three decades, our primary focus has always related to maximizing healthcare claims reimbursement, while maintaining respect for client costs/expenses.
About Manziel Law Offices
Manziel Law Offices, PLLC represents and advises hospitals and medical providers, in the area of maximizing healthcare commercial reimbursement from a multitude of payors and/or resources, including managed and non-managed care payors, ERISA plans, workers’ compensation carriers and plans, estate and probate claims, organizations in bankruptcy, as well as others imposing difficulty and/or issues. Clients include:
- Hospitals
- Physician Practice Groups
- Healthcare Provider Alliances
- Specialty Providers
- Hospices
- Rehabilitation Facilities
- Patient Financial Services
- Patient Accounts
- Business Office or Business Services
- Regional Business Office (RBO)
- Consolidated Patient Account Center or Business Office (CPAC or CBO)
- Virtual Business Office (VBO)
- Individuals
Over more than the past three decades, Manziel Law Offices’ primary focus has remained to maximize healthcare commercial claims reimbursement, while maintaining respect for client costs/expenses.
We welcome the privilege to discuss legal services with you and your organization.
Manziel Law Offices represents and advises hospitals and other medical providers in the area of maximizing healthcare commercial reimbursement. Our legal services include appeal and/or litigation of delayed and/or denied medical insurance claims, challenges to healthcare payer refund requests, after hospitals and medical claims payment has been made, drafting, review, and revision of healthcare reimbursement related contracts, involving both admissions and managed care, and other revenue cycle, admissions, and managed care departmental related issues impacting overall healthcare claims reimbursement. Our focus involves maximizing revenue, while helping to lower A/R days overall. Education of hospital or medical provider personnel plays a key role in delivering to ensure success in the daily challenges inevitable in healthcare claims adjudication and processes for all hospitals and medical providers. Manziel Law Offices has focused in this area of legal practice for over three decades. We remain ready and eager to assist hospitals and other medical providers with these inevitable daily healthcare insurance related reimbursement challenges today and help maximize reimbursement and bring forth revenue that is rightful and deserved in return for reasonable and necessary medical goods and services rendered every day.
Legal Practice Focused on Maximizing Healthcare Claims Reimbursement
Maximizing Healthcare Commercial A/R Claims Reimbursement from Managed and OON payers
Hospital Lien Enforcement, Third Party Liability and Accident Claims, MVA
Accounts Receivables and Denials Management, Managed and Non-Managed Care
Delayed & Denied and Improperly & Untimely Paid Insurance and/or ERISA Claims, Prompt Payment Enforcement, Statutory Penalties Enforcement
Early Out or Later Outsourced Legal Vendor Business on Temporary Basis and/or Full Time
Workers Compensation (WC), Probate, Estate, Bankruptcy, Proof of Claim & Protect Provider Interests
Audits and Requests for Refund and/or Recoupment by Payors
Policy and/or Plan (SPD) Exclusions and Preexisting, Usual & Customary, and Other Plan Limitations and other Restrictions
Verification of Benefits (VOB Benefits Coverage) & Precertification or Preauthorization Denials, Misrepresentation Claims
Silent PPO issues
Medical Necessity, Per Diem, DRG, Bundling and Unbundling, Not Paid per Contract
Out of Network or Non-Contracted, Reinsurance or Stop-Loss, Coordination of Benefits, PPO, HMO, EOB, RA, UB-04, UM, UIM issues
Unauthorized Discounts or Reductions, Managed & Non-Managed Care
Disability Claims and Disputes
Managed Care Contract Review and Revision, Primary Focus on Maximizing Reimbursement/Revenue (while assisting with lowering A/R days)
Admission Form and Consent to Treatment Draft, Review, and Revision
In-House Educational Seminars, e.g. Laws Impacting Medical Claims Reimbursement
Other Healthcare Reimbursement Issues or Dilemmas
Manziel Law Offices
Contact us to help maximize revenue
The Law Offices of Lisa A. Manziel has represented and advised hospitals and other medical providers in the area of maximizing healthcare commercial claims reimbursement from a multitude of payors and/or resources for more than three decades. Manziel Law Offices welcomes the opportunity to discuss healthcare and insurance related issues with you today.
Recent News
Provisions Specific to a Managed Care Relationship
Provisions Specific to a Managed Care Relationship As mentioned, Provider Agreement content falls into four broad categories. The first two, Introduction and Provisions...
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Overview of Managed-Care Relationships
Overview of Managed-Care Relationships One of the things that has become a staple of the American healthcare system is managed care. There...
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Contact Manziel Law Offices
Representing medical providers for over three decades in the area of maximizing healthcare commercial claims reimbursement.