Q/A: What do I do When my State Doesn’t Require Pre-certifications for PI, but the Payer in Another State Does?

In Pennsylvania for Personal Injury cases we do not need to go through specific care paths or get precertification in order to treat patients, however, in New Jersey (NJ), doctors that practice there are required to get that precertification. Our question is that when we bill a New Jersey auto …

Q/A: How Do I Release a Patient from PI When They Still Have Problems?

Once a PI patient is released with symptoms, or without symptoms, and a prognosis of likely exacerbations with a future medical estimation of $1500 over then next 2 years, how am I supposed to release them from care when they still have ongoing needs?

We have discussed this with several different experts. The consensus is….