Billing Medicaid in Third-Party Liability Cases

Billing Medicaid in Third-Party Liability Cases One assertion we often hear is, “Instead of filing a hospital lien, the hospital should bill these charges to Medicaid.” However, by statute Medicaid is a “payor of last resort”.  If there is some other “third-party resource”, the provider is expected to seek payment from that source rather than […]

Insurance Company Releases are Invalid if a Hospital Lien Is Not Paid.

Insurance Company Releases are Invalid if a Hospital Lien Is Not Paid. Liability insurers sometimes pay claims without checking for hospital liens or they obtain a release from the claimant with language saying the claimant assumes responsibility for payment of any liens. However, lawmakers realize that is a “fox guarding the henhouse” situation. The Texas […]

Statutory Medical Provider Liens are Not Subrogation Liens.

Statutory Medical Provider Liens are Not Subrogation Liens. Statutory medical provider liens are often compared to Medicare, Medicaid, and Workers Compensation liens because all four involve (1) medical services, (2) statutory liens and (3) seeking payment. However, there is a major and fundamental difference between medical provider liens and the other three: Medicare, Medicaid and […]