ROOM: ANTIGUA 1

Wednesday, June 8 1:20 - 3:10

Class 110

Trick or Treatment? Unmasking Upcoding and Unbundling in PIP Claims

Siona Bieber, Attorney - Roig Lawyers

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We will discuss how to effectively spot CPT codes frequently unbundled or upcoded by PIP providers. Examples include untimed codes billed for multiple units; submission of electropads with or without EMS therapy; and codes requiring the submission of a separate report billed on the same date as an evaluation and management service. We will evaluate how to timely investigate PIP claims through appropriate pre-suit discovery, and the reasonable scope for 6(b) requests related to these services. The presentation includes a case law discussion, and the impact of requesting payment of non-compensable charges in a PIP pre-suit demand letter.

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ROOM: BONAIR 2

Wednesday, June 8 1:20 - 3:10

Class 120

An Overview of Technology Advancements for the Use of Claim Evaluations

Farhad Booeshaghi Ph.D., Principal Consulting Engineer - Global Engineering Scientific Solutions

 

Dr. Booeshaghi will present today’s state-of-the-art technical elements and discuss various methods for investigating and evaluating claims utilizing the available test methodologies, devices, the application of science and engineering to evaluate varying contentions in the claims industry. The presentation will introduce a brief history of digitization in claims and establish terminology for attendees; followed by the use of drone technology in claims, the current state of telematics/infotainment, the applicable regulations/standards of the industry, and a peek into the technological possibilities ahead for claims evaluations. Upon completion of the program, attendees would be familiar with understanding and utilizing technological advancements in claims.

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