The question of whether a provider’s charges are reasonable arises when there is no provider contract or government regulation setting the rate for a service (e.g., out-of-network providers in health plans, personal injury cases, first-person auto claims), and when the third-party payor sets the allowed amount based on the Usual, Customary, and Reasonable (“UCR”) charge [...]

One of many issues that can arise in calculating economic damages in personal injury litigation is the important distinction between projecting a person’s future earnings and a person’s future earning capacity. Earnings are defined as remuneration of a worker for services performed during a specific period of time. When projecting future earnings the economist is [...]

In December 2017, RPC filed a Post-Submission Brief on “Reasonable Charge” Law in the Texas Supreme Court in the case In re North Cypress Medical Center Operating Co., LTD. Relator, v. Crystal Ann Roberts, Real Party in Interest. The case concerns the amount Ms. Roberts owes North Cypress as an out of network provider for [...]

In personal injury, wrongful death, and employment litigation, lost earnings and lost earning capacity are often an element of damages. The vocational or economic expert must develop the work history and earning history of the injured party.  RPC developed a white paper which discusses development of earning history in a personal injury case. The discussion is useful [...]