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Covid Long-Haulers and Denied Disability

Covid Long-Haulers and Denied Disability June 24, 2022. By Jane Mundy.
Santa Clara, CA If you are a COVID 19 long-hauler and your disability claim has been denied, don’t give up – don’t accept excuses from your insurer. The medical and legal community, state and federal governments (including the CDC) and a recent global survey recognize Long COVID as a disability and insurers will increasingly find it difficult to deny LTD benefits.

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Family of Las Vegas man denied cancer treatment awarded  $200M verdict in insurance bad faith lawsuit

Family of Las Vegas man denied cancer treatment awarded  $200M verdict in insurance bad faith lawsuit May 11, 2022. By LAS Staff Writer.
Las Vegas, NV (April 26, 2022) A jury awarded $40 million in compensatory damages and $160 million in punitive damages to the family of a Las Vegas man who died after being wrongfully denied a specific type of cancer treatment. Sierra Health and Life, a UnitedHealthCare Company, denied Bill Eskew’s claim for proton beam therapy (PBT). Sandy Eskew, the widow and on behalf of Bill Eskew’ estate, brought a lawsuit against Sierra Health and Life. After a 13-day trial, the jury found Sierra Health and Life had breached its duty of good faith and fair dealing also known as “insurance bad faith.” 
Read [ Family of Las Vegas man denied cancer treatment awarded  $200M verdict in insurance bad faith lawsuit ]

Long-Term Disability Attorney Discusses Long-COVID Disability Claims

Long-Term Disability Attorney Discusses Long-COVID Disability Claims April 27, 2022. By Jane Mundy.
Northridge, CA It’s no surprise that some “long COVID-19” claims are denied by insurance companies: there was even a debate about whether it was real. But long-term disability attorney Brent Dorian Brehm, with Kantor & Kantor LLP has already won “post-COVID-19 syndrome” appeals for his clients. Brehm discusses how best to file a long-COVID LTD claim.
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More Hospital Overcharges Lawsuits against TeamHealth “Cartel”

More Hospital Overcharges Lawsuits against TeamHealth “Cartel” April 6, 2022. By Jane Mundy.
Baton Rouge, LA No sooner has TeamHealth settled a $15 million class action lawsuit brought by physicians than it’s slammed with another class action claiming inappropriate ER billing and systematic overcharges from its central billing office which is controlled in a “cartel-like manner”. 
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UnitedHealthcare Cites Upcoding Fraud in Lawsuit against Emergency Room Staffing Company

UnitedHealthcare Cites Upcoding Fraud in Lawsuit against Emergency Room Staffing Company March 9, 2022. By Anne Wallace.
Knoxville, TN On October 27, 2021, UnitedHealthcare filed a lawsuit against TeamHealth Holdings in the Eastern District of Tennessee. UnitedHealthcare Services v. TeamHealth Holdings, the ER fees lawsuit, charges that TeamHealth routinely overcharged emergency room patients for minor medical needs. UHC, as the administrator for many of those claims, alleges that it overpaid by as much as $100 million. The company claims that TeamHealth’s tactics crossed the line from aggressive profit maximization to outright fraud.
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The No Surprises Act Not Foolproof

The No Surprises Act Not Foolproof February 23, 2022. By Jane Mundy.
Santa Clara, CA The No Surprises Act, that went into effect January 1, 2022 intends to provide protection against surprise medical bills such out-of-network bills for in-network hospitals and services such as an air ambulance ride (not ground ambulance) to an in-network hospital. But don’t be surprised if you get a surprise bill…

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TeamHealth vs. United HealthCare Services

TeamHealth vs. United HealthCare Services December 21, 2021. By Jane Mundy.
Knoxville, TN UnitedHealthcare claims that TeamHealth has submitted fraudulent claims to the insurer, to the tune of more than $100 million. The ER fees lawsuit claims that the emergency room staffing and billing company has been upcoding—using codes to deceive the insurer into overpaying—since 2016.
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ER Charged $1,200 for Nosebleed

ER Charged $1,200 for Nosebleed November 30, 2021. By Jane Mundy.
Kansas City, KS Tony woke up late Saturday night with a nosebleed and not knowing what to do, his son drove him to emergency room at St. Lukes South Hospital. When Tony got the bill in the mail he almost had a stroke--a doctor had simply inserted into his nose a cotton ball sprayed with decongestant, which took a few minutes, but he was billed $1,200. There had to be an error.

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Physician Billed Exorbitant ER Overcharges

Physician Billed Exorbitant ER Overcharges November 28, 2021. By Jane Mundy.
San Diego, CA “Not only are these inflated ER overcharges unethical – I don’t understand how medical professionals can charge exorbitant fees for such little work,” says Michael Cutler MD, an urgent care physician. “People were ordering tests before the doctor even came in the door.”
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Patient is Charged ER Fees Without Being Seen

Patient is Charged ER Fees Without Being Seen November 12, 2021. By Jane Mundy.
Atlanta, GA After waiting in the Emory Decatur Hospital ER for seven hours to treat a head injury, Taylor Davis couldn’t wait any longer and went home. She later received an emergency room bill for $688.35. Are you familiar with the old English proverb that “Children should be seen and not heard”? Here’s a new American phrase: “Patients are charged for not being seen.”
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