Posted On: February 28, 2009

Georgia Hospitals Filing Liens Improperly on Car Accident Victims with Health Insurance

As an Atlanta Georgia car accident lawyer, I see hundreds of cases a year and we are getting more and more Georgia notices of medical liens. This past week I noticed that we have received several Georgia Medical Lien notices filed by Feiler and Associates and Clinton Harkins on behalf of their medical provider clients against potential recoveries by my clients. There is nothing inherently wrong with that, but the problem is these clients all have health insurance! If you get notice of one of these liens being filed and you have health insurance, you need to call an Atlanta injury lawyer, immediately.

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Posted On: February 22, 2009

Appellate Court Rules that Victims Injured in Georgia Car Accidents Cannot Encroach on their Underinsured Motorist Coverage When they Voluntarily Settle Hospital Liens as Payment is Not Mandatory

When you are injured in a car accident in Georgia and there are serious medical bills and the at fault driver only has minimum insurance coverages, the availability of Georgia Uninsured and Underinsured Motorist Insurance is a major issue. As you may recall from my post a few weeks back, we were hopeful that the Court of Appeals would extend the logic of the Toomer and Thurman decisions to hold that having to pay off hospital liens in Georgia would have a positive effect on a persons ability to access their UM coverage. That has not happened.
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As I explained earlier, for car crashes from before 1/1/2009 in Georgia, Atlanta car accident lawyers are often faced with situations where their clients only have $25,000.00 in Georgia Underinsured motorist coverage and the at-fault party has $25,000.00 in liability coverage. Barring other insurance sources, the clients were left with having to settle for the available limits of $25,000.00 and no access to their UM. Georgia Appellate Courts held though in Toomer and Thurman that mandatory payment language in Federal Law for Medicare and Federal Worker's Compensation claims would allow that same person to access their Underinsured coverage.

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Posted On: February 16, 2009

Atlanta Injury Lawyers Having to File Suit Against Insurers More Often

Atlanta Injury Lawyers find that they have to file suit more often to obtain fair compensation for their clients than in years past. Years ago when I represented insurance carriers for injury claims in Georgia as a defense lawyer, I found that most of them had a fundamentally sound philosophy. They would pay for valid claims and they would fight exaggerated claims.
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Due to the success of the big three insurers with their deny, delay, defend philosophy, insurers that formerly operated in a reasonable manner seem to have adopted a "me too" approach. I am noticing that the adjusters handling cases prior to suit are less seasoned and more likely to make the standard silly arguments like "we reduced the bills because they are unreasonable" and "your client did not follow up until 3 weeks after the hospital." Many of these arguments sound fine on the phone but the insurers know that in trial they just don't fly.

So, the question becomes, what to do about getting fair value for my clients when they are seriously injured? The answer is that more often than not, we file suit. In a recent case I handled for a client in Dunwoody, Georgia he had a rear end collision with an insured where there was around $2300.00 in damage to his VW. He went to the hospital that day and was ultimately diagnosed with a herniated lumbar disc. As with any moderate damage case, the insurer blew off the demand letters from a prior lawyer and offered him $5,000.00 claiming that the injury pre-existed the crash and that the property damage was too low to cause a disc herniation.

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Posted On: February 12, 2009

Atlanta Hospitals Aggressive on Reimbursement when Patient Injured In Car Crash

Georgians injured in a car crash have to be on their toes when it comes to hospital billing departments. Most hospitals code the intake so they know if the patient came in with a broken leg from a car accident or a broken arm from a trucking crash. Even where the patient has health insurance (which they are obligated to bill unless there is medpay insurance) the hospitals are trying to opt out and hiring a collections law firm to send out immediate lien notices. Why are they doing this to injured people in Georgia?

The answer is simple; if United Health insurance only allows $4,000.00 under their fee schedule for a set of procedures but the procedures are billed at $24,000.00, the hospital would rather get $24,000 instead of $4,000.00. By placing a medical lien on the file, they hope that they can tap into the injury settlement that the injured patient may be pursuing.

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Posted On: February 7, 2009

Atlanta Georgia Soft Tissue Injury Cases Face Hurdles With Insurance Companies

Practicing law as an Atlanta Injury attorney, I see a variety of serious injuries on a weekly basis and I spend hours talking to clients about the impact these injuries have on their lives. Serious car accidents frequently result in soft tissue injuries and many clients come to me after being told by the insurance company for the at fault driver that soft tissue injuries are not a big deal and they won't pay much for them. This begs the question; what is a soft tissue injury and what is it worth in Georgia?

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First, you have to draw a clear line of distinction between low impact cases where the majority of the medical care is chiropractic and moderate and high-impact cases. I do not accept low impact chiropractic cases and frankly the court system is overrun with claims that really have no business in the courts. Conversely, insurance carriers have a nasty habit of ignoring cases where the crash was serious but the MRIs and X-rays don't show fractures or major disc herniations. I have written extensively about what an injury case is worth in Georgia, but this post will discuss soft tissue injuries specifically. Technically speaking, soft tissue injuries are those which affect anything besides the bones. This includes muscles, ligaments and tendons. A sprained ankle is a soft tissue injury as is a torn ACL. Just because the injury is to a soft tissue in the body does not mean it is insignificant.

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Posted On: February 4, 2009

Georgia Lawyers Hoping for Changes in UM Law to Recover Properly for Disc Herniation Cases

As an Atlanta Injury Lawyer, I have handled over 1,000 cases through the years and one of the more frustrating scenarios involves having to explain to a client with a major injury like a cervical or lumbar disc herniation that the at fault driver only has minimum limits. As I have explained in my discussion on Georgia Uninsured and Underinsured Motorist Insurance, this is one of the major reasons why clients should carry $100,000 in UM insurance at a minimum. That said, many clients come to me after the crash and they only carried $25,000.00 in UM themselves. Herniated Disc cases in Georgia are worth more than $100,000.00 in most cases so the issue of available insurance coverages is a critical one for case evaluation.
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For crashes that occurred prior to January 1, 2009 (when Georgia's Uninsured Motorist Law changed) or for people that buy non-stacking UM coverage, the challenge became getting past the at fault driver's $25,000.00 limits.

One argument that is gaining traction is the argument that if the client has to reimburse an outside party such as Medicare, Federal Workers Compensation Liens, Medical Liens etc., then to the extent that a check has to be written to those entities out of the recovery from the at fault driver, because those liens are not subject to the Georgia "made whole doctrine", that dollar amount may be recovered against the Uninsured Motorist Coverage above and beyond the at fault driver's limits. Toomer v. Allstate 292 Ga.App. 60 (2008) Toomer makes it clear that the argument is viable for Medicare liens and Federal Workers Comp claims, but it is still unclear if the Court of Appeals will apply the same logic to Medical Liens and Health Insurance Reimbursement Claims.

It will be interesting to see if Medical Liens and ERISA Self Funded Health Insurance Reimbursement claims will also qualify to allow older claims to dip into the uninsured motorist coverage that would otherwise be in the shadow of the torfeasor under the Bohannon decision. I will post updates as the issues are ruled on.

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