The Russell Friedman Law Group, LLP, together with Joel Giambra of Park
Strategies, LLC, helped the hospital community avoid a huge catastrophe
after certain court decisions disallowed the use of UB-04 forms within
hospitals. The voiding of this form, which is the uniform institutional
provider hard copy claim form that is used when billing multiple third
party payers, would have rendered millions of dollars worth of pending
hospital bills unpayable. The Russell Friedman Law Group, LLP immediately
sprang to action on behalf of Erie County Medical Center, communicating
our concerns to the Department of Financial Services.
Through cooperative measures, our attorneys were able to get the Department
to provide clarification on the exact rules surrounding use of the UB-04
form, as well as on the existing requirements to allow for the processing
of bills without a future claim that a bill was void. The Department also
clarified what types of assignment a hospital cam use to receive payment
for an admission or emergency treatment, and which forms should be used
for any given scenario.
Through our cooperative and combined efforts, the New York State Department
of Financial Services issued an
urgent letter to hospitals in record time. The issues raised by our efforts are now
being fully resolved in favor of all hospitals. This was achieved without
the effort, support, or cooperation of any of the Hospital Trade Associations.
Please click the link above to read the full text of “Catastrophe
Avoided: How Communication, Cooperation and Clarification Saved the UB-04
Bill From Being Disallowed.”