Prompt pay statutes for physicians' billing claims: an imperfect remedy for a systemic problem.

Full Abstract

Physicians are losing millions of dollars per year from delayed and wrongfully denied claims. Class actions provide for certain forms of prospective relief but do not cover physician losses from payers' vexatious conduct. This article examines the effect of state prompt pay statutes and recent amendments to ERISA regulations on curtailing payer payment abuses. The article discusses the strengths and weaknesses of the statutes, as well as strategies for effectively using the statutes for the benefit of physicians.

Author information

Author/s: Marks, James W (JW);

Affiliation: Harris Kessler & Goldstein LLC, Chicago, IL 60610, USA. jmarks(-atsign-)hkgold.com

Journal and publication information

Publication Type: Journal Article

Journal: The Journal of medical practice management : MPM (J Med Pract Manage), published in United States. (Language: eng)

Reference: -2004 Nov-Dec; vol 20 (issue 3) : pp 135-7

Dates: Created 2005/01/27; Completed 2005/02/28;

PMID: 15672901, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: 18 Feb 2009 00:00:00)

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