Abrams, Fensterman, Fensterman, Eisman, Greenberg, Formato, and Einiger, LLP

cordially invites you to a complimentary dinner seminar entitled

NO-FAULT INSURANCE: WHAT EVERY PHYSICIAN NEEDS TO
KNOW IN ORDER TO GET PAID AND AVOID REFUND DEMANDS

Program Summary: As a result of the Court of Appeals decision in the now infamous Malella case, no-fault insurance carriers have become increasingly aggressive in their efforts to identify healthcare providers who are "fraudulently incorporated"; operating their practices in violation of the State's prohibition on the corporate practice of medicine; and/or engaging in illegal fee-splitting. Typically, these no-fault carriers will simply withhold all payments owed until the provider delivers voluminous documentation to the insurer and submits to an Examination Under Oath (an "EUO"). Often, the providers being investigated are physicians or medical groups that are managed by outside business entities, owned by non-physicians. The insurers contend, through various payments and other mechanisms, many of the management companies effectively "control" the manner in which medical services are delivered and in doing so, inappropriately interfere with the physician's independent professional judgment in order to reap profits for themselves.  Profits which exceed the fair market value of the management services which they actually render. This program is intended for physicians and office administrators who want to avoid no-fault insurance audits and position themselves in the best possible way if they need to defend them.

Program Speakers:

--Joel M. Greenberg, Esq., Senior Partner, Abrams, Fensterman, Fensterman, Eisman, Greenberg, Formato & Einiger, LLP
--John Belesi, Esq., Partner, Abrams, Fensterman, Fensterman, Eisman, Greenberg, Formato & Einiger, LLP

Special Guest:

--Skip Short, Esq., Short & Billy P.C.—Mr. Short will speak on claims investigation from an insurer’s perspective.

Please RSVP by March 24th to Dan Kobak at 212-279-9200 or at dkobak@abramslaw.com.