Accident/Injury Patient Accounts - MRA focuses on locating and recovering maximum insurance reimbursements on patient accounts arising from motor vehicle, slip & fall, and other accident injuries. MRA offers a full coordination of benefits for “day one” and/or aged placements. Our team of Patient Advocates gathers accident detail and insurance information necessary to effect timely and correct payments. Our Legal Team aggressively negotiates any potential reduction request a patient’s attorney may offer. MRA’s large department of Insurance Collectors submits compliant claims to the primary carrier and provides necessary follow up to ensure prompt payment. Our Litigation Team specializes in statutory hospital lien filings and the follow up necessary to effect liability payments. Cases for which no applicable insurance coverage is found are returned to your facility with any updated or corrected demographic information at no charge.
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It is difficult for a hospital to know whether a lawyer is involved with an accident patient account. Attorney involvement most often occurs after the patient is home or returns to work. Working as an extension of your hospital’s business office, MRA provides you with access to our attorneys at anytime. MRA attorneys have legal relationships with both Property & Casualty Insurance offices as well as with health payers’ corporate attorneys for resolving large claim denials. Our legal team audits all requests by the patient’s lawyer for information regarding itemized statements for services rendered. MRA works with your staff to screen these accounts for outstanding balances and works with the patient’s lawyer to receive reimbursement from the patient’s settlement or otherwise. We track and monitor litigation to ensure your hospital receives claim payments.
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Workers' Compensation Accounts - MRA provides a comprehensive solution to your Workers’ Compensation needs by offering complete Workers’ Compensation outsourcing by accepting “day one” or aged claims for rapid review, billing, and maximum recovery. MRA also utilizes its legal expertise to resolve unpaid balances due to disputes, eligibility issues, implant invoice requests, UC reductions, attorney involvement, or lack of employee or employer cooperation.
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Troubled Accounts - This area is a specialization for MRA’s Legal Team. Our attorneys resolve these accounts (whether accident-related or not) that have large balances and have been pended, denied, delayed, challenged or underpaid for any reason. Some examples of these scenarios are as follows: subrogation issues, COB complications, unwarranted discounts or reductions, slow paying accounts or payers, unmerited recoupment demands, precertification denials, MCO contract disputes, medical necessity challenges and pre-existing condition denials.
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