New Jersey Attorneys for Physicians and Medical Providers

New Jersey PIP Attorneys for Physicians and Medical Providers

A payment denial, a licensing inquiry, and a letter alleging improper billing may all arrive at the same medical office. Each calls for a different legal response. The Rivkind Law Firm represents physicians and other medical providers throughout New Jersey in personal injury protection (PIP) arbitrations, insurance payment disputes, licensing matters, and complex matters involving allegations of fraud.

Over nearly 40 years in practice, Shari A. Rivkind has represented hundreds of physicians and medical practices. Her work spans both the disputed claim and the business behind it. She understands why a practice needs to know whether the issue is confined to one bill, affects a group of claims, or raises a broader question about the way the office operates.

New Jersey PIP arbitration

We represent medical providers seeking payment for treatment provided to patients injured in automobile accidents. When a PIP insurer denies or reduces payment, we examine the reason it gave, the bills and payment records, the relevant treatment documentation, and the correspondence between the practice and the carrier. We advise the provider on the disputed issues and represent the provider in arbitration.

If several bills are outstanding, one of our first questions is whether the carrier gave the same reason each time. That distinction helps us identify what documentation is needed and whether the practice is facing a recurring issue that warrants separate attention.

Insurance payment disputes

Payment disputes can involve an unpaid claim, a reduction, or a demand to return money the practice has already received. We review what the insurer is challenging, which services and dates are at issue, and what the practice’s records show. From there, we explain the available response and work with the provider to address the dispute.

Medical licensing and board matters

A physician who receives an inquiry from a licensing board needs to understand what the board is asking, which records it wants, and when a response is due. We represent providers in licensing and board matters, help them prepare responses to inquiries, and advise them as the matter proceeds. If you’re calling about a notice, have the letter and its response date available so we can discuss the immediate issue.

Fraud allegations and related proceedings

Allegations involving billing, documentation, or the operation of a medical practice can involve multiple claims and years of records. We represent providers in complex disputes involving allegations of fraud, including matters involving insurers and government authorities. We examine the specific conduct alleged, the records on which the allegations are based, and any related payment or licensing proceedings. That gives the provider a coherent view of what requires a response and how the different matters fit together.

Schedule a Medical Provider Consultation

Call (201) 330-0061 to discuss a PIP arbitration, insurance dispute, licensing inquiry, or fraud allegation. If you have received a demand, notice, or hearing date, mention the deadline when scheduling. Consultations are available by Zoom, telephone, or in person at our Weehawken waterfront office.