In 2019 the Texas Legislature session passed several bills to limit what freestanding emergency departments (FSEDs) charge. One statute authorizes action by the Attorney General if an FSED’s charges are “unconscionable” in comparison to local hospital charges for similar emergency services. Most hospitals update their chargemasters at least annually. To ensure their charges do not become unconscionable, RPC recommends FSEDs review their chargemasters annually. RPC can help FSEDs set their charges to avoid them being “unconscionable.” We can also help FSEDs resolve payment disputes with health plans.

The cost of future medical care is often the largest component of economic damages sought and awarded in personal injury cases. RPC can calculate the reasonable value of goods and services in life care plans based on commercial health insurance allowed amounts (i.e. the market value of healthcare) or on specific fee schedules the plaintiff may be eligible for, such as Medicare, Medicaid, or Workers’ Compensation.