• Skip to primary navigation
  • Skip to main content
  • Skip to footer

Cohen Howard, LLP

You Operate. We Recover.

Call Us For A Free Consultation

732-747-5202

YOU OPERATE. WE RECOVER. ™
  • Home
  • About
    • Our Team
  • Successes
  • Surprise Bill
    • Federal No Surprises Act
      • What Is an Advanced EOB?
      • Qualifying Payment Amount: No Surprises Act
      • How Does Independent Dispute Resolution Work?
    • NJ Surprise Bill Law
    • NY Surprise Bill Law
  • Blog
  • Contact

Cohen Howard

Challenges to the No Surprises Act’s Interim Final Rules, Part II, Fall on Deaf Ears

December 1, 2021 By Cohen Howard

Concerns About the Federal No Surprises Act: Interim Final Rules According to an article published by KHN, the federal agencies responsible for issuing the regulations for the implementation of “the No Surprises Act” (NSA) have publicly … [Read more...] about Challenges to the No Surprises Act’s Interim Final Rules, Part II, Fall on Deaf Ears

Filed Under: Surprise Bill

What’s So Great About Being An In-Network Provider Under the No Surprises Act

November 12, 2021 By Cohen Howard

For years, insurance companies have operated networks of physicians and facilities which they pair with company benefit plans and their own insurance policies to facilitate “in-network” coverage for members.  Physician networks are marketed by … [Read more...] about What’s So Great About Being An In-Network Provider Under the No Surprises Act

Filed Under: Uncategorized

Breast Reconstruction and the Women’s Health and Cancer Rights Act (WHCRA)

October 8, 2021 By Cohen Howard

The Women's Health and Cancer Rights Act (WHCRA), passed by Congress in 1998 and adopted as part of the Employee Retirement Income Security Act (ERISA), was enacted to protect women from abuses related to health plan coverage for a mastectomy and … [Read more...] about Breast Reconstruction and the Women’s Health and Cancer Rights Act (WHCRA)

Filed Under: Uncategorized

Enforcement Provision of the No Surprises Act (NSA) Proposed Rule Issued

September 21, 2021 By Cohen Howard

The Departments of Health & Human Services (HHS), Labor, and the Treasury together with the Office of Personnel Management (OPM) issued, on September 10, 2021, a second set of regulations under the No Surprises Act (NSA). The proposed rule … [Read more...] about Enforcement Provision of the No Surprises Act (NSA) Proposed Rule Issued

Filed Under: Uncategorized

Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part IV: Know Who Is Paying Your Claim?

September 17, 2021 By Cohen Howard

At face value, it seems logical that insurance companies are responsible for paying health benefit claims. But are they? Determining the entity responsible for paying claims requires an understanding of how health benefit plans are structured and … [Read more...] about Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part IV: Know Who Is Paying Your Claim?

Filed Under: By Leslie Howard

Does State Law Now Preempt ERISA Under The No Surprises Act (NSA)

August 12, 2021 By Cohen Howard

The No Surprises Act (NSA) becomes effective on January 1, 2022 and will apply to virtually all commercial medical claims covered by ERISA, Non-ERISA, self-insured and fully insured plans for (1) emergency care performed by an out-of-network … [Read more...] about Does State Law Now Preempt ERISA Under The No Surprises Act (NSA)

Filed Under: Surprise Bill

No Surprises Act Regulations Part I Released

July 6, 2021 By Cohen Howard

On July 1, 2021, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury issued part I of the regulations in connection with federal No Surprises Act that protects patients from surprise medical … [Read more...] about No Surprises Act Regulations Part I Released

Filed Under: News

Court Denies BCBSAL Motion to Dismiss Based on Anti-Assignment Clause in Medical Reimbursement Dispute Finding Derivative Standing Exists Under ERISA

June 29, 2021 By Cohen Howard

Our client, an out-of-network orthopedics practice group, filed a lawsuit against Blue Cross Blue Shield of Alabama (BCBSAL) to dispute the medical reimbursement for a spinal surgery performed on July 12, 2016. The patient in the suit had coverage … [Read more...] about Court Denies BCBSAL Motion to Dismiss Based on Anti-Assignment Clause in Medical Reimbursement Dispute Finding Derivative Standing Exists Under ERISA

Filed Under: CH Case

Class Action Suit Filed Against UHC for Denied Breast Reconstruction Medical Claims

June 22, 2021 By Cohen Howard

We are pleased to share news of a class-action lawsuit filed against United Healthcare (UHC), in a New Jersey federal court, concerning its ongoing denial of reimbursement for co-surgeons (CO) and assistant surgeons (AS) when performing a DIEP Flap … [Read more...] about Class Action Suit Filed Against UHC for Denied Breast Reconstruction Medical Claims

Filed Under: By Leslie Howard, CH Case

District Court of New Jersey Remands Case to State Court Declaring ERISA Preemption Does Not Apply

June 9, 2021 By Cohen Howard

In a recent decision by the District Court of New Jersey between our client, an out-of-network New Jersey based medical practice and Aetna regarding services related primarily to emergency care, the Court granted our client’s motion to remand the … [Read more...] about District Court of New Jersey Remands Case to State Court Declaring ERISA Preemption Does Not Apply

Filed Under: CH Case

  • « Go to Previous Page
  • Go to page 1
  • Go to page 2
  • Go to page 3
  • Go to page 4
  • Go to page 5
  • Go to Next Page »

Footer

Contact Us

732-747-5202
766 Shrewsbury Ave., Ste. 200
Tinton Falls, NJ 07724 

 

Sitemap

Google Reviews

Click here to review us on Google!

ATTORNEY ADVERTISING © Copyright © 2022 Cohen Howard, LLP All rights reserved. Disclaimer | Privacy Policy
Per Committee on Attorney Advertising Ethics Opinion 42, this advertising is not approved by the New Jersey Supreme Court.
WANT TO LEARN MORE ABOUT THE NO SURPRISES ACT?

Find out how the Federal No Surprises Act will affect your practice.