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Federal Tax ID # 25-1762150
Lawson F. Bernstein, M.D., P.C.
P O Box 81977
Pittsburgh, Pennsylvania 15217
Administrative Assistant Mary
Quinlisk 412 600-7996
Office Fax 412 422-5203
Fee Schedule, Notification and
Cancellation Policy
Case Name: LFB #
Revised 1/05/10
PLEASE READ THIS
CAREFULLY:
1. Hourly rate for file review,
trial preparation, other: $500/hr ($550/hr for < 96 hr/4
business days turn around)
2. Standard IME report fee: minimum
$3000, general range $3000-$5000 depending on
the records to review, fee greater
for voluminous records.
3. Deposition/testimony :
A. Flat fee for workers’
compensation deposition = $1900
B. Flat fee for all other
depositions < 4 hours = $3000, then $500/h thereafter
including any travel time.
C. Flat fee for local live court
testimony (less than 90 highway miles
Pittsburgh), one calendar day or
part thereof = $6000 / day.
D. Flat fee for out-of-town live
testimony (greater than 90 highway miles
from Pittsburgh or requiring
air-travel), one calendar day or part thereof =
$8500 / day.
E. Minimum video deposition fee =
$4500
F. Deposition/testimony prepayment
due no less than 2 weeks prior to date of
appearance.
4. Proposed dates for IMEs and/or
depositions requested by you and subsequently
provided by my office will be held
unconfirmed for no more than 2 weeks from the
calendar date they are provided to
you.
5. Formal
written
notice for trial
and/or deposition dates must be given no less than
4
calendar weeks in advance
of proposed
appearance, or my appearance cannot
necessarily be guaranteed.
Page 2
Bernstein fee agreement
Federal Tax ID # 25-1762150
6. Trial and deposition prep fees
are billed separately from appearance fee. Testimony
prep begins at least 4 weeks
pre-appearance. These fees are non-refundable.
7. Prepayment & Cancelled Deposition
fees - Prepayment by certified check no later
than 2 weeks prior to deposition.
Cancellation less than 7 calendar days notice =
$2000, less than 96 hr notice (4
calendar days) = fee in full. Notice is determined
from 8am on original date of
scheduled testimony.
8. Cancelled workers’ compensation
deposition (notice is determined from @ 8am on
date of exam) < 4 calendar days
notice = $1000
9. Prepayment & Cancelled Court
testimony - Prepayment by certified check no later
than 2 weeks prior to deposition,
cancellation less than 7 calendar days notice =
$3500 (out of town = $5000), < 96 hr
notice (4 calendar days) = fee in full. (Notice
is determined from 8 am on original
1 st
day of trial);
10. Cancelled IME (notice is
determined from @ 8am on date of exam) < 5 calendar
days notice = $1500; < 24 hr/ one
calendar day notice = $3000: No-show for IME =
$3000
11. MMPI-2 personality/malingering
psych testing & report = $500
12. All travel expenses (car rental
or mileage, air travel, hotel, etc) are to be paid at least
2 weeks in advance by the client.
13. Retainer of
$3000.00
due at onset of
this matter, prior to beginning of any work.
14.
A formal written
notice at least 8 weeks prior to any proposed trial or
deposition date is required or an
appearance date
cannot be
guaranteed.
15. Failure to adhere to any aspect
of items #1-11 will result in my immediate
withdrawal from the case. ALL FEES
PAYABLE IN ADVANCE Bills unpaid > 60
days from date posted may incur
additional penalties or may be submitted for
collection. Please read, sign and
fax back.
“I understand this fee schedule is a
written contract between myself and/or the
organization I represent and Lawson
F. Bernstein, MD, PC. I have reviewed this fee
schedule in its’ entirety. My
signature denotes formal receipt and acceptance of this fee
schedule”.
Signature: Date:
o
PLEASE REFER TO
INVOICE/ESTIMATE NUMBER IN ALL BILLING
CORRESPONDENCE
o
CASE ESTIMATE PROVIDED
ON REQUEST.
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