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ALJ Hearings and Appeals to the…

ALJ Hearings and Appeals to the MAC

Examines the Medicare administrative appeals process and covers issues related to the appeal of ZPIC, PSC and RAC audits of Medical claims. By Lilies Parker.

http://www.aljappeal.com/
  • Jan 29

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.
    (January 30, 2013): The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (also referred to as “BIPA”), amended Section 1869 of the Social Security Act, resulting in a number of significant changes to…
  • Jan 29

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.

    ZPIC Audits Involving Extrapolated Damages Can Bankrupt Your Practice.
    (January 30, 2013): The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (also referred to as “BIPA”), amended Section 1869 of the Social Security Act, resulting in a number of significant changes to…
  • Jan 21

    Medicare Appeals Have Become More Complex Than Ever.

    Medicare Appeals Have Become More Complex Than Ever.
    (January 21, 2013):  Medicare appeals of denied claims for services are somewhat common.  In years past, both health care providers and members of their staff have represented themselves or their practice in the…
Rank this Week: 2996

The Medicare Compliance Blog

The Medicare Compliance Blog

Covers Medicare secondary payer compliance, Medicare set-asides, mandatory insurer reporting, recovery resolutions, conditional payment notification, Medicare risk assessment, self-administration support issues, Medicare impact on long-term care. By Gould & Lamb.

http://themedicarecomplianceblog.com/
  • Oct 6

    Humana v. Farmers – Medicare Advantage Plans at Issue

    Humana v. Farmers – Medicare Advantage Plans at Issue
    A recent federal court decision from Texas gives a Medicare Advantage plan a potential green light to seek reimbursement under the Medicare Secondary Payer (MSP) Act. At issue in the case, Humana Insurance Company v. Farmers Texas Mutual…
  • Jul 18

    US Court of Appeals Provides Opinion on Michigan Spine and Brain Surgeons v. State Farm

    US Court of Appeals Provides Opinion on Michigan Spine and Brain Surgeons v. State Farm
    The United States Court of Appeals for the Sixth Circuit published its opinion in Michigan Spine and Brain Surgeons, PLLC v. State Farm Mutual Automobile Insurance Company on July 16, 2014. The long awaited decision addresses the…
  • Jun 5

    CMS Amends the Workers Compensation Reference Guide

    CMS Amends the Workers Compensation Reference Guide
    On May 29, 2014, the Centers for Medicare and Medicaid Services (CMS) amended the recently released Workers’ Compensation Reference Guide published in February 2014. The changes affect medical review, treating physician reports,…
Rank this Week: 3005

Pharmacy Law Blog

Pharmacy Law Blog

Covers health law and pharmacy law. By George F. Indest III, P.A.

http://pharmacylawblog.wordpress.com/
Rank this Week: 3101

Psychology and Mental Health Law…

Psychology and Mental Health Law Blog

Covers health law, psychology and mental health law. By George F. Indest III, P.A.

http://mentalhealthlawblog.wordpress.com/
  • Aug 5

    Medical Students, Residents and Fellows Should Report Their Disabilitie

    Medical Students, Residents and Fellows Should Report Their Disabilitie
    By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law Many do not realize it, but universities, medical schools, graduate medical education (GME) programs and most other educational programs have…
  • Jul 17

    Baker Act Basic

    Baker Act Basic
    By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law We are frequently consulted by family members of individuals who are erroneously confined under Florida’s Baker Act, Section 394.451, Florida…
  • Nov 25

    Mental Health Professionals Need to Know How To Handle Difficult Patients – Part 1

    Mental Health Professionals Need to Know How To Handle Difficult Patients – Part 1
    By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law Psychologists, mental health counselors, social workers, and other psychotherapists, because of the nature of their professions, will often…
Rank this Week: 3140

Dentistry Law Blog

Dentistry Law Blog

By George F. Indest III.

http://dentistrylawblog.wordpress.com/
Rank this Week: 3297

New York Guardian Law

New York Guardian Law

Covers the guardianship process and life as a guardian. By the Law Office of Daniel A. Jimenez P.C.

http://nyguardian.blogspot.com/
  • Jan 9

    Estate Planning Essentials for New Parents (or Responsibility in Six Not So Difficult Steps)

    Estate Planning Essentials for New Parents (or Responsibility in Six Not So Difficult Steps)
    I have had the opportunity to meet with many new parents to discuss what steps they need to take in order to make sure their loved ones are provided for should the unexpected occur.  The trust that these individuals have placed in my…
  • Dec 3

    Calls for increased monitoring of Article 81 guardian

    Calls for increased monitoring of Article 81 guardian
    Today the New York Law Journal has an article relating to a clinic run by the Benjamin N. Cardozo School of Law and the recommendations it has put forward regarding monitoring and standardization of Article 81 guardianship practice. I am…
  • Sep 19

    Who inherits the intangible iTunes library? or my World of Warcraft avatar?

    Who inherits the intangible iTunes library? or my World of Warcraft avatar?
    A friend of mine just pointed out a very interesting article on Marketwatch, who inherits your itunes library, which deals with the new reality of music and book ownership. 
Rank this Week: 3394

Health Care Law Blog

Health Care Law Blog

Covers health care reform, HIPAA, compliance, regulations, billing/payment, Medicare & Medicaid, fraud & abuse, employment, tax and other related topics. By Foster Swift Collins & Smith PC.

http://www.healthlawyersblog.com/
Rank this Week: 3462

Healthcare Integration Advisors

Healthcare Integration Advisors

Covers health care compliance, fraud, HIPAA, and laws. By Iseman, Cunningham, Riester & Hyde, LLP.

http://www.healthcareintegrationadvisors.com
  • May 21

    CMS Proposes to Increase Reward for Reporting Medicare Fraud to $10 Million

    CMS Proposes to Increase Reward for Reporting Medicare Fraud to $10 Million
    Posted by Laurie K. ChisolmHealth provider compliance officers may soon have another cause for busy days and sleepless nights.  CMS recently issued a proposed rule that, if finalized, would revise its little-used Medicare Incentive…
  • May 7

    Who Decides Who Visits a Hospital Patient?

    Who Decides Who Visits a Hospital Patient?
    Posted by Laurie K. ChisolmUnder federal regulations, a hospital patient has the right to determine who can visit during the hospital stay.  Hospitals may not prevent “non-traditional” family members or any others from…
  • Apr 23

    Revise Your Notice of Privacy Practices By September 23, 2013

    Revise Your Notice of Privacy Practices By September 23, 2013
    Posted by Linda TernerPatient-focused health care providers understand that privacy is important to patients.  Providing patients with an explanation of their health information privacy rights has been a standard part of provider office…
Rank this Week: 3529

Physician Law and Finance

Physician Law and Finance

Provides legal and financial information for Pennsylvania physicians. By Dennis Hursh.

http://physicianlaw.blogspot.com/
  • Feb 25

    I've Moved my Stuff

    I've Moved my Stuff
    Come see my new website and blog for more information on physician contracts and physician prosperity in general.
  • Jan 26

    Letters of Intent in Physician Contract

    Letters of Intent in Physician Contract
    There is a post on letters of intent in physician contracts in my Physicians Contracts Blog that may interest you.To read the post, click here: Letters of Intent in Physician Contracts.
  • May 9

    My new book

    My new book
    It seems like I've been waiting for years, but my book, The Final Hurdle - A Physician's Guide to Negotiating a Fair Employment Agreement is finally out!
Rank this Week: 3597

Health Information Technology and…

Health Information Technology and Privacy Blog

Provides guidance to health care providers and facilities as they move into a new electronic era of privacy and security concerns under HIPAA and the HITECH Act. By Ober Kaler.

http://www.oberhealthinformationtechnology.com/
  • May 23

    NOIs Due Soon to Apply for 2014 ACO Program

    NOIs Due Soon to Apply for 2014 ACO Program
    The Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) established under the Affordable Care Act is about to kick-off its second year with a new round of applications for the January 1, 2014 start date. As part…
  • Jan 24

    HHS Overhaul of HIPAA: Summary of New Obligations for Covered Entities and Business Associate

    HHS Overhaul of HIPAA: Summary of New Obligations for Covered Entities and Business Associate
    On January 17, 2013, the Department of Health and Human Services (HHS) posted Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules [PDF] (the Final Rule) under the authority of the HITECH Act and the…
  • Jan 17

    New HIPAA Rule Released Today

    New HIPAA Rule Released Today
    The new HIPAA/HITECH rule in an unpublished version was released today and can be found at www.federalregister.gov/articles/2013/01/25/2013-01073/modifications-to-the-hipaa-privacy-security-enforcement-and-breach-notification-rules.…
Rank this Week: 3680

Whistleblower Qui Tam Lawyer Blog

Whistleblower Qui Tam Lawyer Blog

Provides updates and commentary on whistleblower cases. By McCabe Rabin, P.A.

http://www.whistleblowerquitamlawyerblog.com/
  • Aug 19

    Using Company Documents to Prove the Fraud

    Using Company Documents to Prove the Fraud
    A recent case in Illinois highlights a common battleground in qui tam whistleblower cases namely, the whistleblower who keeps and relies upon company documents to prove the fraud allegations of his or her complaint. In Shmushkovich v. Home…
  • Aug 6

    Compounded Pain Creams and Gel

    Compounded Pain Creams and Gel
    As recently reported by CBS News, federal authorities are currently investigating widespread fraud occurring in the area of compounded pharmaceuticals and compounding pharmacies. Compounding refers to the process by which medications can…
  • Jul 23

    Whistleblowers and HIPAA

    Whistleblowers and HIPAA
    Whistleblowers often face a difficult decision when they suspect fraud at their place of employment.   The whistleblower knows that fraud is being committed, but he or she will never be able to prove it without keeping or retaining…
Rank this Week: 3695

Sidebar Blog

Sidebar Blog

Covers health care compliance and criminal defense. By Matthews Law Firm, P.A.

http://matthewspa.com/sidebar-blog
  • Sep 10

    Florida execution put on hold to accommodate Attorney General’s fundraising event

    Florida execution put on hold to accommodate Attorney General’s fundraising event
    Yes, you read that right. Here’s the story detailing how the execution of a Florida inmate has been delayed so the Attorney General can attend her re-election kick-off reception.
  • Mar 19

    When vacating convictions, which charge is the “lesser offense”?

    When vacating convictions, which charge is the “lesser offense”?
    Imagine this scenario: A defendant is convicted of both Attempted Trafficking of Oxycodone and Possession of Oxycodone. He files an appeal arguing he should not have been convicted of both due to double jeopardy. The appellate court agrees…
  • Jan 16

    Prostitution Fine Amounts Increased in Florida

    Prostitution Fine Amounts Increased in Florida
    As of January 1, 2013, the civil penalty for committing prostitution has increased to $5,000.  From 796.07 (6): A person who violates paragraph (2)(f) shall be assessed a civil penalty of $5,000 if the violation results in any judicial…
Rank this Week: 3752

Healthcare Law Blog

Healthcare Law Blog

Comments on healthcare law. By Hamil Little.

http://www.healthcarelaw-blog.com/
  • Aug 25

    The Continuing Trend of Physician Employment

    The Continuing Trend of Physician Employment
    A recent survey by search agency The Medicus Firm shows steady continuation of the national trend toward employment of physicians.  In representing employers and employees, our Georgia physician practice law firm follows physician…
  • Aug 14

    Majority of Georgia Hospitals Face Medicare Penaltie

    Majority of Georgia Hospitals Face Medicare Penaltie
    About two-thirds of Georgia hospitals can expect to be fined for excessive Medicare readmissions, according to a recent article in the Atlanta Journal. According to our Georgia business and healthcare law firm’s research, this places…
  • Jul 31

    FRAUD DON’T PAY: HEALTHCARE PROVIDERS BEWARE CIVIL MONETARY PENALTIES LAW

    FRAUD DON’T PAY: HEALTHCARE PROVIDERS BEWARE CIVIL MONETARY PENALTIES LAW
    Physicians and other healthcare providers and businesses who seek to stay in the center of the court and avoid fraud allegations often inquire of our Georgia business and healthcare law firm about the applicability of STARK (civil statute) or…
Rank this Week: 3789

Medicare-Medicaid Audit World

Medicare-Medicaid Audit World

Covers RACs, MACs, and Medicare and Medicaid court cases. By David S. Dessen of Dessen, Moses & Rossitto.

http://www.medicaremedicaidblog.com/
Rank this Week: 3998

Partial Hospitalization Program…

Partial Hospitalization Program Claims

Focuses on the health law issues and challenges faced by Community Mental Health Centers (CMHCs) around the country. By Liles Parker.

http://www.partialhospitalization.com
Rank this Week: 4061

Chicago Nursing Home Lawyers Blog

Chicago Nursing Home Lawyers Blog

Comments on nursing home legal issues. By Robert Kreisman.

http://www.chicagonursinghomelawyersblog.com/
Rank this Week: 4386

SCG Healthcare Blog

SCG Healthcare Blog

By State Capital Group.

http://healthcare.scglegal.com/
  • Aug 11

    Changes and Challenges for Mental and Behavioral Health Provider

    Changes and Challenges for Mental and Behavioral Health Provider
    As Kentucky’s Senate Bill 192 highlights, coverage and treatment of substance abuse problems is dramatically changing, as the current penal model is slowly being replaced with a treatment model. Even terminology for what has been called…
  • Jul 31

    CMS Proposes Sweeping Changes for Nursing Home Oversight

    CMS Proposes Sweeping Changes for Nursing Home Oversight
    On July 16, 2015, the Center for Medicare and Medicaid Services published a Proposed Rule with new standards that will have a sweeping effect on the long-term care industry. This new Rule is the first comprehensive review and update to…
  • Jul 17

    Think Twice About DEA Voluntary Surrender

    Think Twice About DEA Voluntary Surrender
    It can be an intimidating experience, to be sure.A DEA agent or Diversion Investigator, on an unscheduled visit to your office, confronts you with a KASPER, a KBML complaint or some other state regulatory action and alleges violations of the…
Rank this Week: 4388

ACA Review

ACA Review

Covers labor and employment, tax, employee benefits and healthcare law issues associated with the Affordable Care Act. By Balch & Bingham LLP.

http://www.acareview.com/
  • Aug 25

    2015 Form 1095-C Reporting: IT Vendor Survey

    2015 Form 1095-C Reporting: IT Vendor Survey
    On August 18, 2014, we posted our, “First Look at ACA Employer Compliance Software.” It’s time for an update. We invited less than a dozen vendors to answer these twenty-two questions. With respect to each 2015 ALE coverage…
  • Aug 12

    Draft 2015 Forms and Instructions for ACA Coverage Offer Information Reporting: Forms 1094-B, 1095-B, 1094-C, 1095-C and 8809

    Draft 2015 Forms and Instructions for ACA Coverage Offer Information Reporting: Forms 1094-B, 1095-B, 1094-C, 1095-C and 8809
    At about the same time as last year, the IRS has released draft ACA coverage information reporting Forms and Instructions to be used early next year. There are many small differences and one HUGE difference. The IRS decided not to enforce the…
  • Aug 7

    When is an overpayment “identified?”  THE ANSWER IS IN

    When is an overpayment “identified?”  THE ANSWER IS IN
    In a highly anticipated ruling in Kane ex rel United States, et al. v. Health First, Inc., et al., a New York federal judge has issued the first judicial interpretation of the sixty-day overpayment return provision in the Affordable Care…
Rank this Week: 4412

STEIN on Medical Malpractice

STEIN on Medical Malpractice

Discusses new court decisions, legislation, and other cutting-edge developments in medical malpractice laws across the United States. By Alex Stein, Professor of Law at the Benjamin N. Cardozo School of Law.

http://steinmedicalmalpractice.com
  • Jun 9

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit
    June 9, 2014 Libby v. The Eights Judicial District Court, --- P.3d ----, 2014 WL 2428791 (Nev. 2014) The Nevada Supreme Court recently delivered an important decision interpreting the state’s statute of limitations for medical…
  • Jun 9

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit

    Interpreting Nevada’s Statute of Limitations for Medical Malpractice Suit
    June 9, 2014 Libby v. The Eights Judicial District Court, --- P.3d ----, 2014 WL 2428791 (Nev. 2014) The Nevada Supreme Court recently delivered an important decision interpreting the state’s statute of limitations for medical…
  • Jun 9

    Causation Defenses in New Jersey

    Causation Defenses in New Jersey
    June 9, 2014 Komlodi v. Picciano, --- A.3d ----, 2014 WL 2050758 (N.J. 2014)This new decision of the New Jersey Supreme Court restated the rule that denies the comparative negligence defense to doctors who negligently fail to guard…
Rank this Week: 4443

Marijuana Law, Policy & Reform

Marijuana Law, Policy & Reform

Edited by Douglas A. Berman.

http://lawprofessors.typepad.com/marijuana_law/
  • Aug 27

    "Pioneer Pot States Have Collected More Than $200 Million In Marijuana Taxes"

    "Pioneer Pot States Have Collected More Than $200 Million In Marijuana Taxes"
    The title of this post is the headline of this notable new Huffington Post article. Here is how it gets started: The first two states to legalize recreational marijuana have collectively raked in at least $200 million in marijuana tax…
  • Aug 25

    In Oregon, weddings with marijuana bringing new meaning to wedded bli

    In Oregon, weddings with marijuana bringing new meaning to wedded bli
    Marijuana reforms often say they would like marijuana to be treated just like alcohol, and this new article from Oregon suggests that at least a one couple started their marriage in a manner that makes such treatment a reality in one…
  • Aug 25

    Marijuana reform efforts in Ohio (finally) starting to generate lots of newsy buzz

    Marijuana reform efforts in Ohio (finally) starting to generate lots of newsy buzz
    Throughout much of this year, I had been intrigued (but not all that surprised) that efforts to reform marijuana laws through ballot initiative in Ohio had not received all that much attention even as one well-funded group, ResponsibleOhio,…
Rank this Week: 4616

Health Law Blog

Health Law Blog

Covers Medicare, Medicaid, audits, compliance and identity theft. By Martin Law Firm.

http://www.jbmartinlaw.com/blogs/health-law/
  • Jan 26

    Medicare Signature Guidelines for 2015

    Medicare Signature Guidelines for 2015
    For medical review purposes, Medicare requires that services provided or ordered must be authenticated by the ordering provider. The medical records must be complete and signed by the provider. There are two acceptable signature methods,…
  • Aug 10

    PA Supreme Court Denies State Farm’s Appeal In Chiropractors’ Delegation Case

    PA Supreme Court Denies State Farm’s Appeal In Chiropractors’ Delegation Case
    On July 30, 2012, the Pennsylvania Supreme Court denied State Farm’s petition for an appeal in the case of State Farm Mutual Automobile Insurance Company, et al. v. Robert J. Cavoto, Jr., et al. (No. 943 MAL 2011).  State Farm…
  • Jun 5

    New Electronic Signature Process for Social Security Form SSA-827

    New Electronic Signature Process for Social Security Form SSA-827
    Adults applying for disability benefits online will now “click and sign” the SSA-827 as part of the electronic application process.  Upon execution of this process, an image of the electronically signed form immediately…
Rank this Week: 4633

PVW Health Care Law Blog

PVW Health Care Law Blog

Covers Health Care Reform, HIPAA compliance and practice management for health care practitioners. By Parsonage Vandenack Williams LLC.

http://www.pvwhealthcarelaw.wordpress.com/
  • Aug 6

    IRS Issues Notice on PPACA “Cadillac” Tax

    IRS Issues Notice on PPACA “Cadillac” Tax
    On July 30, 2015, the Internal Revenue Service (IRS) issued Notice 2015-52, addressing issues and seeking public comments on the implementation of the “Cadillac” tax on high-cost health insurance under the Patient Protection and…
  • Jul 24

    CMS Reveals Star Ratings for Home Health Care Agencie

    CMS Reveals Star Ratings for Home Health Care Agencie
    By Matthew J. Effken. The Centers for Medicare and Medicaid Services (CMS) has added star ratings to its Home Health Compare website that provides information about Medicare-certified home health care agencies. The new feature is intended to…
  • Jul 24

    CMS Reveals Star Ratings for Home Health Care Agencie

    CMS Reveals Star Ratings for Home Health Care Agencie
    By Matthew J. Effken. The Centers for Medicare and Medicaid Services (CMS) has added star ratings to its Home Health Compare website that provides information about Medicare-certified home health care agencies. The new feature is intended to…
Rank this Week: 4734

BIZ LAW DDS

BIZ LAW DDS

Law blog for Wisconsin and Illinois dentists. By the Gauthier Law Group, LLC.

http://www.bizlawdds.com
  • Sep 5

    How to Negotiate a Dental Office Lease

    How to Negotiate a Dental Office Lease
    One of the most valuable assets of a health care practice is its location. If you do not own that location, it is extremely important that you secure the value of this key asset through a well-drafted medical office lease. … Continue…
  • May 8

    Wisconsin Senate Approves Non-Covered Services Legislation

    Wisconsin Senate Approves Non-Covered Services Legislation
    Yesterday, the Wisconsin Senate, by an overwhelming vote of 30 to 3, passed a bill that prohibits insurers from setting fees for dental and related services not covered by their policies.  This non-covered services bill was approved by…
  • Apr 18

    Wisconsin Assembly Approves Limits on Price Setting by Dental Insurer

    Wisconsin Assembly Approves Limits on Price Setting by Dental Insurer
    On Wednesday, April 17, 2013, the Wisconsin Assembly, by a vote of 89 to 8, passed a bill that prohibits insurers who provide limited-scope dental benefit policies from setting fees for dental and related services not covered by those…
Rank this Week: 4823

pharmaundmarke.com

pharmaundmarke.com

The blog pharmaundmarke.com is dedicated to pharmaceutical trade marks. It is operated by highly specified lawyers and covers all relevant decisions of both European and German courts. Whilst the blog is currently in German only, the monthly newsletter and the annual magazine will include English summaries and abstracts.

http://www.pharmaundmarke.com
  • Aug 7

    Silicium-Sorbent (-)

    Silicium-Sorbent (-)
    Sind bei einer Wortkombination wie hier „Silicium-Sorbent“ ohne konkreten Produktbezug mehrere Verständnismöglichkeiten gegeben, so ist das Zeichen regelmäßig bereits dann schutzunfähig, wenn eine der…
  • Jul 26

    HOT (+/-)

    HOT (+/-)
    Die Schutzfähigkeit einer Marke ist stets mit Blick auf die konkret beanspruchten Waren zu beurteilen. Die Wort-/Bildmarke HOT ist nur für Gleitmittel für pharmazeutische Zwecke, nicht aber für…
  • Jul 12

    Krukenform

    Krukenform
    Der in Rede stehende weiß-rot gefärbte zylindrische Behälter ist mangels Unterscheidungskraft selbst dann nicht als 3D-Marke in das Gemeinschaftsmarkenregister einzutragen, wenn er eine innovative Form aufweist, die sich von…
Rank this Week: 5060