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Developing a variety of services designed to maximize reimbursement and counter the abusive payment practices of insurance carriers which plague medical providers, James “Jay” Packer, J.D., recently joined HRA Medical Management, Inc. as chief counsel of its legal department. As an attorney with litigation experience, Mr. Packer enhances HRA’s ability to enforce reimbursement rights to the fullest extent permitted by law. In particular, Mr. Packer oversees HRA’s assertion of medical liens on behalf of providers, workers compensation matters including negotiation, hearings and trial, creditor suits, and issues involving insurance carriers who routinely take advantage of providers by practicing abusive payment patterns.

In the context of billing for emergency medical care, Mr. Packer utilizes statutory law (long used by large hospitals) to assert medical liens on claims made by patients against third parties responsible for their injuries. Consequently, the interests of HRA’s clients are represented by an experienced attorney when negotiating medical liens and settling accounts. The net effect is an overall increase in attorney cooperation and an overall decrease in the administrative costs and time-loss associated with collection efforts involving liable third parties.

Mr. Packer also heads HRA’s commitment to fighting unfair payment practices of insurance companies who routinely abuse their power by delaying and denying payments in violation of the law. As all providers are aware, receiving reimbursement from large insurance carriers is a daunting, often fruitless task that erodes timely and efficient monetary recovery. To fight such abusive practices, Mr. Packer utilizes various laws designed to protect providers by analyzing payment histories of specific payors to reveal potential violations. Violations, when properly reported to appropriate government agencies, often entitle providers to penalties and interest which are often overlooked by physicians groups lacking legal sophistication and experience in this area.
To facilitate the recovery system, Mr. Packer works closely with HRA’s Collection Department and uses HRA’s state-of-the-art information management system, the AS/400, for early detection of matters appropriate for client liens. This enables HRA to focus its administrative efforts on non-lien related accounts, while providing a mechanism of recovery directly from third parties.
For more information about how your physician group can benefit from these recovery services, contact Mr. Packer at (619) 285-5990 or JRPacker@hraorg.com.