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Nebraska Health Care Law Questions & Answers
1 Answer | Asked in Health Care Law for Nebraska on
Q: I had back surgery Nov. 30, 2018. My insurance company denied a portion of the fees stating it was experimental.

I was preapproved for the surgery, but surgeon used different technique and device than what was preapproved. Do I have grounds to fight this charge ($8,956)?

Julie Fowler
Julie Fowler answered on Dec 9, 2019

There is often an administrative appeal procedure that you can make to your insurance company when a claim that you thought would be pre-approved and covered was denied. The hospital or facility also wants to get paid so they may be willing to assist with this appeal. Sometimes a good place to... Read more »

1 Answer | Asked in Personal Injury, Civil Rights, Health Care Law and Medical Malpractice for Nebraska on
Q: How do i file grievance on police officers? And doctors causing more pain and mental anguish& financial crisis.

Drug induced psychosis diagnosis polysubstance overdose

Peter N. Munsing
Peter N. Munsing answered on Jul 19, 2018

Unlikely to succeed as there was an OD, mental anguish is not favored by the courts in any state and is viewed hypertechnically, and "financial crisis" generally means they rocked your house of cards, it fell, but courts say unless they caused an injury that of itself took you out the fact that you... Read more »

1 Answer | Asked in Health Care Law and Medical Malpractice for Nebraska on
Q: If a sentinel event occurs, is the hospital liable for long-term damages?
Peter N. Munsing
Peter N. Munsing answered on Jul 19, 2016

Not sure what you mean by a "sentinel event"as it can mean many things.But it sounds like you mean an error that cause a damage, possibly longterm. Short answer is if it was due to carelessness, yes, but.....legislatures are very protective of the medical profession so medical carelessness cases... Read more »

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