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Message
1
Posted on 11/1/18 at 4:27 pm to Slippy
I'm an insurance defense attorney in Oklahoma. The legislature recently passed a law that allows the jury to see the amount Plaintiff's actually have to pay their medical providers instead of the amount that's actually billed (which tends to be four times higher). That's help cut a lot of the fraud out here.
A lot of Plaintiff and their attorneys like to make the insurance companies out to be the evil villians, but the truth is we all benefit from insurance, and we all suffer when people cheat the system.
A lot of Plaintiff and their attorneys like to make the insurance companies out to be the evil villians, but the truth is we all benefit from insurance, and we all suffer when people cheat the system.
Posted on 11/1/18 at 4:40 pm to financetiger
quote:
First things first....chiropractors are not "doctors".....
bumped into a chiropractor I used to know. Tries to make you call him "Doctor" so I always call him "Mike" as much as I can when talking to him. Catching up he said his son was going to medical school. I pressed where, he gave up and said chiropractic school. I guffawed, he got pissed. Oh well.
Posted on 11/1/18 at 4:44 pm to jbraua
(no message)
This post was edited on 5/15/21 at 10:13 am
Posted on 11/1/18 at 4:56 pm to Slippy
Bet you they do not get prosecuted. I hate em
Posted on 11/1/18 at 5:02 pm to jbraua
Brief hijack: jbraua would you mind emailing me so I can pick your brain about some OK law?
tigrbabe08x@gmail.com
tigrbabe08x@gmail.com
Posted on 11/1/18 at 5:09 pm to Shadowlink
quote:
Between my wife and I we've been rear ended four times in the last 3 years. My two were on their cell phones at the time.
Joubert Law Firm 761-3822. He needs the work.
Posted on 11/1/18 at 5:10 pm to tigrbabe08
Sure, no prob. You can also email me at jbraualsu@gmail.com.
Posted on 11/1/18 at 5:12 pm to Slippy
There use to be this guy at work who was the company's "runner". He would go deliver things to clients, pick up food orders for meetings, stuff like that.
Dude was a scam artist. He worked for a baton rouge lawyer, off the books. According to him, he got paid $200 for every person he referred to the lawyer. He never said the lawyers name, he just said they worked downtown.
He said the lawyer helped him get a settlement on two different occasions.
He would tell all the different ways he would get free meals. Burger King, according to him, was the best place to claim you were not satisfied with your order because even if you told them after you eat your meal they would give you a voucher to get a free meal the next day.
Dude was a scam artist. He worked for a baton rouge lawyer, off the books. According to him, he got paid $200 for every person he referred to the lawyer. He never said the lawyers name, he just said they worked downtown.
He said the lawyer helped him get a settlement on two different occasions.
He would tell all the different ways he would get free meals. Burger King, according to him, was the best place to claim you were not satisfied with your order because even if you told them after you eat your meal they would give you a voucher to get a free meal the next day.
Posted on 11/1/18 at 6:04 pm to Slippy
quote:
You people are so naive.
Every 18 wheeler or commercial vehicle on the road has at least a million dollars in liability coverage. If a greedy, unscrupulous plaintiff lawyer gets that case, there is NO WAY he is letting it go for soft tissue money. There is NO WAY he is settling it before filing suit. (Contingency goes up from 33% to 40% once suit is filed.)
You have to "work it up." You send him to the shake and bake doctor for a few months. No better? Well let's get some MRI's. Considering the fact that most adults over the age of 25 have some sort of disc pathology anyway, they will find a herniation or a bulge of something, which the plaintiff-friendly doctor will causally attribute to the accident.
Now it's time to start the money train rolling. Let's get some facet injections, maybe epidurals, maybe a more invasive diagnostic test like a discogram. And here comes the inevitable surgical recommendation. This man needs a fusion!
And when an attorney tells a client, "Hey, if you get the surgery, the value of your case triples," most will jump at the deal. "I just settled a neck surgery case for $750,000! Do you have any lost wages? We can send you to a voc rehab expert, and get the total value of the claim up over a million."
This is the ORDINARY COURSE OF THINGS. I see it every fricking day. I have at least 40 pending cases where that exact same scenario has played out.
No, it's not the insurance companies' fault. If you think that, you are are on team plaintiff, or you are a fricking idiot
Here's a few more for you...
Do you know that if a plaintiff uses his own health insurance for his medical bills from an accident, he can still recover what the doctor puts in the bill? Even if the insurance only pays 20% of the bill and the rest is written off AND CANNOT BE COLLECTED BY THE CONTRACT, the plaintiff can still collect 100% of the bill at trial.
Oh...and there's no "reasonablness" test for those bills. In other words, a litigation doctor can put on his bill whatever the frick he wants, even if it's 5 times more than any other doctor or more than what he could charge Blue Cross or Medicare, and the plaintiff gets to recover that - even if the doctor never intends to accept more than a percentage of that bill.
Posted on 11/1/18 at 6:17 pm to udtiger
quote:
Oh...and there's no "reasonablness" test for those bills. In other words, a litigation doctor can put on his bill whatever the frick he wants, even if it's 5 times more than any other doctor or more than what he could charge Blue Cross or Medicare, and the plaintiff gets to recover that - even if the doctor never intends to accept more than a percentage of that bill.
Word on the street is there are about to be some serious challenges to this by the defense bar because some doctors are getting egregious with it. Pigs get fed and hogs get slaughtered, doc.
This post was edited on 11/1/18 at 6:19 pm
Posted on 11/1/18 at 6:53 pm to jbraua
quote:
and we all suffer when people cheat the system.
Including when adjusters cheat the system
Posted on 11/1/18 at 8:07 pm to Elleshoe
(no message)
This post was edited on 5/15/21 at 10:11 am
Posted on 11/2/18 at 10:52 am to Slippy
quote:
Donelon said Louisiana has the second-highest auto insurance rate in the country, trailing only Michigan.
Not a PI guy but those are the only 2 states in the country that allow direct actions against insurance companies. That seems a lot more likely driver of high rates as compared to a few scam PI rings (which I'm sure happens in every big city).
Posted on 11/2/18 at 11:39 am to Lakeboy7
quote:
Some are, most are not.
Because there are too many attorneys. Law School was way oversold to students. Which also gives the incentive for attorneys to take questionable cases because they need the money to pay student loans.
As an industry, PI law is doing great in Louisiana. But, unfortunately there are too many attorneys to spread the money around.
Posted on 11/2/18 at 12:29 pm to udtiger
I pay a shite load of money for health insurance to get those contractual adjustments. Why should some third party get to benefit from that?
Regarding reasonableness, the only people who pay medical bills based on reasonableness are governmental entities, the rest of us get hosed based on whatever can be negotiated down from the hospital chargemaster, which frequently has prices that are 5-30 times the Medicare reimbursement rate.
Regarding reasonableness, the only people who pay medical bills based on reasonableness are governmental entities, the rest of us get hosed based on whatever can be negotiated down from the hospital chargemaster, which frequently has prices that are 5-30 times the Medicare reimbursement rate.
Posted on 11/2/18 at 12:30 pm to Slippy
And you think this is just in NOLA? Also, you forgot about the Chiropractors.
Posted on 11/2/18 at 4:55 pm to Athanatos
quote:
I pay a shite load of money for health insurance to get those contractual adjustments. Why should some third party get to benefit from that
Why should you get to recover money you never paid and never will? How have you been damaged to where you should be able to recover the writeoff/adjustment that you did not "suffer?"
Posted on 11/2/18 at 4:56 pm to udtiger
quote:
Why should you get to recover money you never paid and never will? How have you been damaged to where you should be able to recover the writeoff/adjustment that you did not "suffer?"
all that "mental anguish" baw
Posted on 11/2/18 at 5:23 pm to udtiger
quote:
Why should you get to recover money you never paid and never will? How have you been damaged to where you should be able to recover the writeoff/adjustment that you did not "suffer?"
He paid his health insurance premiums to get the discounted rates.
This post was edited on 11/2/18 at 5:25 pm
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