You were seriously injured in a car accident. Then you learn that many Oregon doctors disfavor auto accident victims. The reason comes down to one word: money.
Oregon law limits to amount Oregon medical providers can charge to treat auto accident victims. Oregon lawmakers decided to adopt the medical fee schedule used in Oregon’s workers’ compensation system. So, as you might guess, persons injured on the job are similarly disfavored by many medical providers.
Oregon Revised Statue 742.525 reads :
(1) Except as provided in subsection (2) of this section, a provider shall charge a person who receives personal injury protection benefits or that persons insurer the lesser of:
(a) An amount that does not exceed the amount the provider charges the general public; or
(b) An amount that does not exceed the fee schedules for medical services published pursuant to ORS 656.248 (Medical service fee schedules) for expenses of medical, hospital, dental, surgical and prosthetic services.
(2) For expenses of hospital services that are subject to the adjusted cost-to-charge ratio specified for a hospital in the hospital fee schedule published pursuant to ORS 656.248 (Medical service fee schedules), a provider of hospital services shall charge a person who receives personal injury protection benefits or that persons insurer the greater of:
(a) The amount of the hospital charges multiplied by the adjusted cost-to-charge ratio specified for the hospital; or
(b) Ninety percent of the hospital charges. [2003 c.813 §4; 2005 c.341 §4; 2011 c.707 §1]”
If you are injured in a motor vehicle accident, start by selecting the right medical providers –providers who are happy to treat auto accident victims and know how to bill properly.