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Social Security Administration Slows Down the Disability Application Process by Adding More Red Tape

Two years. That is how long it can take for an individual to make his or her way through the social security disability application process. For individuals with significant physical or mental health impairments who desperately need income, that is an eternity. Now, the Social Security Administration has added three to six more months to the application processing time by requiring applicants to file for Reconsideration.

The Social Security Administration has reinstated Reconsideration as a step in the disability adjudication process. As of April 1, 2019, Pennsylvania applicants whose initial applications were denied, which is nearly everyone, must seek Reconsideration.

If the Social Security Administration denies your initial application, you have 60 days from the date you receive the notice to submit a request for reconsideration. After you submit your reconsideration request, the Disability Determination Services will do a second review of your records. Unfortunately, if there are no changes from your initial application, you can expect another denial. And, if the reconsideration request is not submitted within 60 days, you will have to start over and resubmit your initial application. Only after you receive the reconsideration denial, then you can request a hearing.

We regularly represent individuals seeking Social Security benefits and can assist you throughout the application process. You can call our office at 610-446-3457 to set up a consultation with one of our attorneys. We will explain the process, guide you and fight to get you the benefits you need.

 

Estate Planning – Have You Considered Your Digital Assets?

Today, I was reminded by Facebook that I had been friends with a colleague for seven years. What Facebook didn’t seem to know is that he had been gone for about three years. Interestingly, this week also saw the publication of the latest issue of The Philadelphia Lawyer, in which I write the Technology and the Ethics columns, and this colleague was mentioned in my Tech column, “Digital Estate Management – Your Clients May Be Dead, But Their Facebook Accounts Live On.”

At the Law Offices of Daniel J. Siegel, LLC, we focus on our clients by doing things a little different, but with the goal of providing cutting edge client services in an affordable manner. Our estate planning services are a great example, as highlighted by this Technology Column in The Philadelphia Lawyer, which is published by the Philadelphia Bar Association. The article addresses one such area – dealing with your electronic, Internet, and online assets when you or a loved one is no longer with us – and it highlights how we do things a bit differently. We understand that estate planning can be stressful, but we try to take some of the stress away with our “Pay Once, Revise for Life Estate Planning Program,” and our comprehensive interview. But most importantly, we focus on drafting documents that meet our clients’ needs.

Most of our clients need a Will, a Living Will (also called an “Advanced Healthcare Directive”) and a Power of Attorney. Our non-traditional family clients may need Hospital Visitation forms and an Authorization that permits a non-related loved one to handle your remains.

As stated above, we focus on today’s lifestyle issues. We are one of the very few law firms that considers and advises clients about disposition of their digital assets, and will address whether you need a Digital Executor – a person who understands and can assure that all of your electronic information is finalized. The bottom line is that while we all should deal with our inevitable futures, estate planning today is different from estate planning just a few years ago. We need to address digital assets, such as computers, websites, and social media. What happens to your Amazon account? Or what should happen to your Facebook page? Do you really want reminders of your “friendship” going out years after you are gone. And how about your Dropbox account, your email, and all of those other things that go along with our mobile economy? That is digital estate planning, we do it, and we help clients recognize the need for digital executors, a term many lawyers have never heard.

Finally, no one wants to pay a lawyer. We understand. We don’t want the pressure of fees to prevent clients from planning for the future. With our “Pay Once, Revise for Life Estate Planning Program,” clients only pay a fee once – when clients initially draft and sign their estate planning documents. We never charge for revisions, so clients feel comfortable calling us to make changes at any time, and know that the meter won’t be running. Last week, one of our clients was having surgery and wanted to change his Will, for the sixth time, and we handled the revisions the same day.

We know of no other law firm that has a similar focus on clients’ peace of mind. Read my article, and perhaps you can understand why one colleague – a business law professor – thought it was satire. But for those of us who recognize the realities of a 21st century lifestyle, they are not laughing. They are looking for, and hiring, a law firm that understands their lives, their needs and their goals.

 

Attention Doctors, Pharmacies & Medical Providers Treating Pa. Workers’ Compensation Patients

Pennsylvania Appeals Court Eliminates Defense That Prevented Countless Workers’ Compensation Providers From Getting Paid

Doctors and every other entity providing medical care or services to injured workers under the Pennsylvania Workers’ Compensation Act will benefit from the Commonwealth Court Opinion today in Armour Pharmacy v. Bureau of Workers’ Compensation Fee Review Hearing Office. The unanimous court eliminated the ability of insurers and employers to simply allege a few “magic words” to halt the process used to determine how much they should be paid for caring for injured workers. Attorney Dan Siegel of the Law Offices of Daniel J. Siegel, LLC represented the medical provider in the case.

In the case, the Court ruled that that “where the employer challenges a fee determination of the Medical Fee Review Section for the stated reason that the medical service was not rendered by a ‘provider’ within the meaning of the Act, the threshold question must be decided by the Hearing Officer.” This means that insurers and employers must now provide evidence why they are disputing a medical bill, eliminating the often-bogus defenses that have prevented a Hearing Officer from deciding how much they are owed.

This case applies to every doctor, hospital, chiropractor, medical equipment company, pharmacy and any other entity providing medical care or services to workers injured and receiving benefits under the Pennsylvania Workers’ Compensation Act. This case also affirms that these medical providers have a due process right to compensation, as established in Armour Pharmacy I, another case handled by Attorney Dan Siegel.

Our office regularly represents medical providers and other entities seeking to be paid for treatment to injured workers. In the past week, Attorney Dan Siegel has received numerous honors for his work: (1) Philadelphia Inquirer Influencer of Law (Personal Injury) award, (2) voted Delaware County’s #1 personal injury attorney by Delaware County Daily Times readers, and (3) honored as a Pennsylvania Best Lawyer in workers’ compensation law, based upon voting by other attorneys.

When you need an attorney, contact our office. Over half of our clients are attorneys; that’s why we’re known as the Lawyers Other Lawyers Call for Advice.

A Message to Insurance Companies, Self-Insureds and Others: Some of Your Lawyers Aren’t Always On Your Side

Imagine that one of the law firms that you hire to defend you and your insureds wants you to pay more, a lot more. It’s true.

One law firm proudly states that it defends employers, self-insureds, and [insurance] carriers in matters involving workers’ compensation, auto claims, slips and falls, and many other types of personal injury lawsuits.

But whose side are they really on? After all, this law firm wants to void and eliminate all medical fees schedules based on Medicare and other non-Pennsylvania guidelines, thus increasing the amount that its clients would have to pay for medical care, and even for future medical care in some cases.

You don’t have to imagine it. It’s true.

This Pennsylvania-based insurance defense firm is arguing in a case in the Commonwealth appeals Court that every fee schedule based on an outside formula is unconstitutional. This means that according to a law firm that exclusively represents insurance companies, employers and self-insureds, the fee schedules that they use to determine how much to:

  • Pay for medical bills
  • Pay for hospital bills
  • Pay for medical tests
  • Pay for diagnostic tests
  • Pay for medical equipment
  • Pay for pharmaceuticals, and
  • Pay for every other type of medical care

would be void (in other words – all of these fee schedules would be eliminated) if they were based on a Medicare fee schedule, the Red Book for medications/pharmaceuticals, and any other guidelines that the Pennsylvania legislature did not create.

That’s right, every doctor, every hospital, and every type of medical provider could charge and would be entitled to be paid whatever amount it asked for based on this logic. I am certain that insurance companies would be thrilled to know that their lawyers are taking a position that would cost them millions, all because they don’t like how a small group of pharmacies is compensated under the Pennsylvania Workers’ Compensation Act for dispensing medication to help injured workers deal with pain without exposing them to cheap, addictive opioids.

Here is what the firm wrote in their Commonwealth Court brief:

It was unconstitutional for the legislature to delegate the law on pricing of pharmaceuticals to a private company without providing that company with any policy direction, limits, or guidance, and with the ability of that private company to change the rules at rates at its whim, in secrecy, and without legislative review.

Analogously, this also means that it is unconstitutional for the legislature to delegate the law on pricing of medications and other care to Medicare without providing any policy direction, limits, or guidance, and with the ability of Medicare to change rates at its whim, in secrecy, and without legislative review.

Our office does not and never will represent insurance companies, we represent injured workers, victims of auto accidents, slips and falls and other negligence. We also recognize that fee schedules are necessary, and that they are best when derived from reputable sources like Medicare and the Red Book. Otherwise, the cost of medical care would have no boundaries.

Imagine that.

Attorney Daniel Siegel Named 2019 Influencer of the Law by Philadelphia Inquirer

2019 Influencers of Law Awards – Attorney Dan Siegel One of Two Honorees in Personal Injury Category

Havertown Personal Injury, Appellate and Ethics Attorney Daniel J. Siegel has been named a 2019 Influencer of the Law by the Philadelphia Inquirer, one of only two honorees in the category. Dan will receive his award Tuesday, March 26th, at the Crystal Tea Room in Philadelphia, PA.

As a winner, Dan Siegel was selected by Inquirer readers and evaluated by an expert panel of judges who felt he shaped, changed, and transformed the legal industry. Dan was one of 54 winners who will be honored at the awards ceremony; he was profiled in a special section of the Sunday Inquirer today, which will reach nearly 1 million readers.

The Inquirer described Dan Siegel’s accomplishments and summarized some of his community service:

“Attorney Dan Siegel’s cases have changed the law, and either preserved or extended the rights of countless persons injured at work, on the job, and in other ways. Dan is a recognized leader in the local, regional, and national legal communities. For example, he is a pioneer in the emerging area of the intersection of technology and legal ethics, and his firm is the first in the nation to offer Technoethics guidance to lawyers. In addition, he is the author of 13 books, including treatises on workers’ compensation, legal ethics, law practice management and efficiency and time management.

“Dan serves the community in many ways. He has served as a Commissioner in Haverford Township since 1988, and is recognized for his success in bringing transparency to the community; his efforts have also led to the Township’s adoption of emerging technologies, and its focused replacement of its aging infrastructure. Among his community efforts, he has been pro bono counsel to the Foundation for Ichthyosis and Related Skin Types for over 20 years.”

The Influencers of the Law program will feature opening remarks by Terry Egger, Publisher and Chief Executive Officer at the Philadelphia Inquirer. The program will also feature a fireside chat with Pennsylvania Attorney General Josh Shapiro.

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