About Our Practice

The blog's authors, Jorge Abril and Craig Lewis, operate Medical Accounts Systems (MAS), an agency that provides accounts receivable solutions to hospitals, physician practice groups, and other healthcare providers, and practice law at Jorge M. Abril, P.A., a Florida law firm practicing healthcare reimbursement litigation.

MAS has a division that exclusively pursues payment from Managed Care Organizations, Medicare, and Medicaid. It provides solutions for the following commonly encountered healthcare reimbursement issues, among others:

• denials for untimely filing
• denials for lack of authorization
• denials based on lack of medical necessity
• contractual carve-outs
  
• underpayments under non-participating provider statutes
• Emergency Medical Treatment and Active Labor Act (EMTALA) disputes
• Employee Retirement Income Security Act (ERISA) benefits denials
• coordination of benefits

MAS possesses the technology and infrastructure to identify and resolve denials, underpayments and carve-outs on an individual or an aggregate basis, in addition to handling self pay medical debt collection.

When payment is not received after exhaustion of the appeal process, if a lawsuit is warranted, the firm will then bring suit in Florida State or Federal Court. The firm also represents healthcare providers in litigation over provider liens and other third party payor matters.