New Arizona Law Helps Protect Against Excessive Surprise (out-of-network) Medical Billings.

By Michael G. Kelly, Attorney at Law

Kelly Law and Tax

Surprise billings from medical providers who are out of the insurer’s network happen often and are a very unpleasant experience for insured patients.  This often happens when a specialist is summoned unexpectedly by an in-network provider on a medical case and can result in substantial medical bills that are in excess of what insurers will reimburse under the patient’s health plan.

A new law in Arizona seeks to protect patients by providing them with a new dispute resolution system for surprise bills that are at least $1,000 above the combined patient cost-sharing and insurer’s allowable reimbursement. The dispute resolution process includes a pre-arbitration settlement conference and mandatory arbitration to provide a final determination of the matter if it is not settled beforehand.  This will only occur if the patient has exhausted appeals with the insurer. The arbitration must occur in the county where treatment is rendered and may be by phone. The process is designed to take only a few months and there are penalties for noncooperation by either party.

This process, though falling short of limiting the practice of surprise billing like several other states have, is a significant step forward in protecting patients from this very unpleasant surprise.

 

 

 

 

A NEW HEALTH CARE PLANNING APP

By Michael G. Kelly, Attorney at Law

Kelly Law and Tax

Most of us feel quite relieved when we get our estate planning done, particularly when it comes to naming someone to make decisions for us when we cannot (health care proxy) or providing advance directives concerning our last illness or injury (often referred to as a living will).

The American Bar Association Commission on Law and Aging has developed a smartphone app that allows users to store and distribute their living will or health care proxy. The app is called “My Health Care Wishes.”

How Does It Work?

The app makes advance directives easily accessible when they are actually needed. The app enables individuals, and their family members to store their own, and each other’s documents and important medical histories on their smartphones.  There can be a struggle to find needed information when a parent has a medical emergency and children are often scattered around the country, as is often the case. Distributing the information to each child’s phone would allow quick access to the information and any person with the information could email the information to the medical provider who needs it in real time, saving valuable time in the event of a crisis.

What Else Do I Need To Know?

Advance directives, such as a Living Will or Health Care Power of Attorney, legally authorize another person to make health care decisions if an individual loses the ability to make his own decisions. It is important for everyone to create and sign these directives and to be certain that their appointed agents know where to find the documents when needed. More info about the app can be found at www.myhealthcarewishes.org.

Questions? Contact us for more information.

 

 

Preventing Identity Theft After the Death of a Loved One

By Michael G. Kelly, Attorney at Law

Kelly Law and Tax

For a loved one after death to become a victim of identity theft is the last thing any of us would ever expect to happen. Unfortunately it is a regular occurrence. There are some very important steps we all can take to prevent this from happening:

  • Do not include the birth date, last address or most recent job in the deceased loved one’s obituary.
  • Make sure someone is in the deceased loved one’s home during the published visitation and funeral times, to prevent a burglary/ theft of documents with sensitive personal information.
  • Make sure each of the credit reporting bureaus gets a copy of the death certificate and ask each to add a “deceased alert,” which will freeze the credit file.

Equifax: PO Box 740241, Atlanta, GA 30374

Experian: PO Box 9701, Allen, TX 75013

TransUnion: PO Box 2000, Chester, PA 19022

  • About one month after the loved one’s death, review your loved one’s credit report at AnnualCreditReport.com to ensure there is no suspicious activity. You may want to do this once a month for one year after the death since it takes that long for an account with a deceased notation to be removed from a credit report.
  • Make sure that your funeral director has notified Social Security about the death of your loved one. You may also want to advise the IRS by calling 800-829-1040 to prevent someone from filing a tax return and claiming a refund in the name of the deceased loved one.
  • Be sure to keep copies of any documentation you provide to these agencies, just in case a follow-up is needed