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1
What Is Personal Injury Protection Insurance, and How Do Medical Providers Deal With This System?
U.S. auto insurance laws vary by state. For automobile accidents, states may take a no-fault approach, a tort liability approach, or a blend of both.
Florida attorneys work in a no-fault environment. Under Florida’s no-fault law, drivers must have Personal Injury Protection insurance to cover medical expenses incurred in an accident. It doesn’t matter which driver erred; when an accident occurs, each party files a claim with their own insurance company for Medical expenses, lost wages, or death benefits under the PIP coverage.
Every Florida vehicle owner must have two minimum protections: coverage for property damage and Personal Injury Protection. PIP coverage pays medical expenses and lost wages up to $10,000. In addition, there is a $5,000.00 death benefit.
After medical providers submit their bills to the carriers, they frequently receive checks that underpay the claims. This reality means that PIP claims comprise an underperforming revenue stream for hospitals and healthcare providers. Many underpaid claims linger in databases and file drawers, costing medical providers tens and even hundreds of thousands of dollars in unpaid services.
Medical providers typically write off insurance underpayments or denials, even though the insurer is liable for all costs and attorneys' fees, according to Florida statute 627.428.
There’s a further issue for medical providers: Independent Medical Examination (IME) cut-offs. Doctors hired by the insurance carrier to decide when the patient's injuries are resolved, and coverage stops. Because injuries are not always so simple, healthcare providers can find themselves covering longer-term treatments for injured patients.
The issues we have just described exasperate healthcare providers. But they also represent revenue potential, waiting to be optimized. PIP Revenue is your key to making it happen.
2
Why Should Lawyers Partner With Ged Lawyers?
Attorneys who process PIP claims face heavy document loads, and litigating these claims is resource-intensive. PIP Revenue’s leadership designed a more efficient approach, letting lawyers turn their medical provider contacts into a reliable income stream while helping these same providers.
Why work with us? Quite simply, we have unparalleled experience. Through 25 years of innovation, testing, and client feedback, PIP Revenue has perfected a rapid and transparent system with an exceptional payout rate.
We employ state-of-the-art technology, using secure VPN and HIPAA-compliant connections to process medical records without needing to go to the offices of your medical clientele. (We do have HIPAA-compliant mobile scanners to send to firms requiring manual paper audits; but we, and most of our clients, prefer electronic audits.) This system is optimal for the legal landscape beyond 2020.
In a time when remote services are imperative, we offer a fully technology-driven process.
Our client law firms can track each claim’s progress through a secure web portal. PIP Revenue clients can:
- Log in 24/7 for real-time access to the claims.
- See when the claim was received, the patient name, the date of loss, the insurance carrier, and the claim's status.
- Pinpoint where we are in the workflow and the amount of money we've collected for the medical provider.
- Determine how much money the law firm will receive in referral fees.
PIP Revenue is a low-maintenance solution, too. We do not ask our law firm clients to risk funds. We do not put their staff to work. We provide transparent, continually updated information while offering ongoing support for increasing a law firm’s base of referrals.
For both audited and litigated cases, our rates of collection, and thus revenue, are excellent.
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How Does the PIP Revenue Service Work?
How, precisely, do we represent our clients and draw revenue to their firms? First, the law firm contacts Ged Lawyers — over the phone, with an email, or through a live chat. We review the firm’s PIP medical provider referral. Our legal clients sign a co-counsel agreement with our firm, which the provider also signs pursuant to the rules regulating the Florida Bar.
How Payment Works
We sign a co-counsel agreement with our client law firm, setting forth the fee split between them. PIP Revenue processes all the claims from start to finish — and sends the client law firm a referral fee.
The client law firm’s role is simple: to connect PIP Revenue with its medical provider clients. PIP Revenue pays a 25% referral fee to the referring attorney, compliant with the Florida Bar.
We submit a 25% referral fee for litigated cases into the client’s account immediately upon the settlement and collection of fees. Once a case is settled, the insurance carrier has 20 days to send the check to our office. Once the funds are deposited, the referring attorney is paid directly from our trust account.
How Work Begins: The Retroactive PIP Audit
Taking Action: From the Demand Letter Through Litigation
After Looking Back, PIP Revenue Goes Forward
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Success Stories: PIP Revenue Audit Case Studies
Here we offer several audit case studies of our work both with medical providers and the lawyers who refer them to us. Note that when our client is the lawyer, the referred medical client benefits as well.
Most of our clients are small law firms that practice personal injury but lack the resources to process PIP claims. Ged Lawyers essentially creates extensions of their law firms.
Mark, a personal injury solo practitioner in
Florida, works with PIP Revenue attorneys and has, to date, received more than $360,000 in referral fees.
David, a real estate attorney on the Florida Gulf Coast, has been working with PIP Revenue for more than a decade, receiving more than $2 million in referral fees to date. David’s success shows how personal injury protection cases offer revenue opportunities for lawyers across various practice areas.
For a small, doctor-owned imaging company in Florida, the PIP Revenue legal experts got $3.7 million in medical benefits covered.
For a Florida chiropractor, the PIP Revenue legal team earned payments amounting to $870,000 from the insurance companies.
For an orthopedic group in Florida, PIP Revenue lawyers earned $850,000 in paid personal injury claims.
PIP Revenue’s experts have collected $2.8 million in medical benefits for denied, delayed, and underpaid claims for a Florida hospital system. Pip Revenue’s legal staff transferred thousands of files to a rented offsite storage area, then deployed mobile scanner vehicles and audit teams to process more than 10,000 claims quickly; 9,941 are now successfully closed, with 446 still in litigation.
For two other hospitals in Florida, PIP Revenue recovered $2.1 million and $1.6 million.
Our medical provider clients find the PIP Revenue team when they have databases and file cabinets filled with personal injury claims. We find the actionable claims and review intake forms to supply admissions staff with supportive intake methods in compliance with local, state, and federal laws.
Hospitals and medical providers incur no additional expenses. At the same time, referring lawyers acquire reliable income streams with the support of PIP Revenue’s incomparable client service.
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Who We Are: Ged Lawyers
Attorneys C. Glen Ged and Maurius J. (Marty) Ged are at the helm of Ged Lawyers. Based in Boca Raton, Ged Lawyers work through our Clearwater, Estero, Melbourne, Naples, Panama City, and Sarasota branches. We are pleased to partner with law firms throughout Florida.
We have collected tens of millions of dollars in revenue for our clientele.
We started PIP Revenue service as we know attorneys need a simple, reliable option for referring PIP cases because audits and litigation are so resource-intensive. Our goal? To provide an end-to-end solution for the referring attorney and the client.
The revenue opportunity is substantial. Florida's no-fault insurance laws allow for higher reimbursements to medical providers than third-party insurance companies or Medicare. With many providers ill-equipped to assert their rights related to the cost of treating accident injury victims, Florida PIP referrals constitute a mostly untapped growth opportunity — for the providers and their legal advocates.
We appreciate your interest in PIP Revenue for Lawyers. We invite you to learn more about the process and read testimonials from partner law firms.
If you still have questions, visit www.piprev.com/contact or call us toll-free: 844-4GEDLAW.
Our legal team looks forward to working with you!
