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 and Cancellation Policy

Case Name:                                                                                                         LFB #

Revised 01/01/08   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 = $5500 / 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 = $8000 / day.

E.    Minimum video deposition fee = $4500

F.    Deposition/testimony prepayment due no less than 2 weeks prior to date of appearance.

4.     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.

5.     Prepayment & Cancelled Deposition fees - Prepayment by certified check no later than 2 weeks prior to deposition. Cancellation less than 7 calendar days notice = $1500, less than 96 hr notice (4 business days) = fee in full. Notice is determined from 8am on original date of scheduled testimony.

6.     Cancelled workers’ compensation deposition (notice is determined from @ 8am on date of exam)  < 4 business days notice = $1000

7.     Prepayment & Cancelled Court testimony - Prepayment by certified check no later than 2 weeks prior to deposition, cancellation less than 7 calender days notice = $3500 (out of town = $5000),  < 96 hr notice (4 business days) = fee in full. (Notice is determined from 8 am on original scheduled date of testimony);

8.     Cancelled IME (notice is determined from @ 8am on date of exam) < 5 business days notice = $1500; < 24 hr/ one business day notice  = $3000: No-show for IME = $3000

9.     MMPI-2 personality/malingering psych testing & report = $500

10. All travel expenses (car rental or mileage, air travel, hotel, etc) are to be paid at least 2 weeks in advance by the client.

11. Retainer of $3000.00 due at onset of this matter, prior to beginning of any work.

12. 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”.

o       PLEASE REFER TO INVOICE/ESTIMATE NUMBER IN ALL BILLING CORRESPONDENCE

o       CASE ESTIMATE PROVIDED ON REQUEST.