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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: 2998

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/
  • 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…
  • 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: 3141

Dentistry Law Blog

Dentistry Law Blog

By George F. Indest III.

http://dentistrylawblog.wordpress.com/
Rank this Week: 3289

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: 3406

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/
  • Jul 28

    Michigan Doctor Sentenced to 45 Years for Cancer Fraud Scheme

    Michigan Doctor Sentenced to 45 Years for Cancer Fraud Scheme
    Dr. Farid Fata was sentenced to 45 years in a federal prison by U.S. District Judge Paul Borman. The sentence was greater than the 25 years that the defense advocated for, but well under the 175-year maximum requested by the prosecution. Dr.…
  • Jul 20

    CMS Issues Proposed Rules for Medicaid Managed Care

    CMS Issues Proposed Rules for Medicaid Managed Care
    Last month, for the first time in over a decade, the Centers for Medicare & Medicaid Services (CMS) published proposed revisions to the Medicaid managed care regulations. According to CMS, the proposed rule aims to reflect the changes in…
  • Jul 14

    Tuomey Health Loses Appeal, Facing $237 Million in Fees and Damage

    Tuomey Health Loses Appeal, Facing $237 Million in Fees and Damage
    A very long legal battle may be nearing its final chapter after the U.S. Court of Appeals for the Fourth Circuit upheld a $237 million judgment against Tuomey Healthcare System in South Carolina. The judgment is an enormous sum for the…
Rank this Week: 3470

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: 3535

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: 3600

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: 3683

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/
  • 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…
  • Jul 15

    Contractor Settles Suit Related to Set Aside Contract

    Contractor Settles Suit Related to Set Aside Contract
    According to the Department of Justice, LB&B Associates, Inc. (“LB&B”) has agreed to settle a qui tam lawsuit alleging it violated the False Claims Act by claiming it qualified as a Small Disadvantaged Business when it did…
  • Jul 7

    IRS places Captive Insurance Companies on the list of the “Dirty Dozen”

    IRS places Captive Insurance Companies on the list of the “Dirty Dozen”
    Each year the IRS publishes a list of the “Dirty Dozen” tax scams.   The list is intended to warn taxpayers against common and trending tax scams.  The complete list for 2015 can be found by clicking here. The 2015…
Rank this Week: 3728

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: 3750

Health Care Law Blog

Health Care Law Blog

Comments on health care law. By Hamil Little.

http://www.healthcarelaw-blog.com/
Rank this Week: 3785

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: 4000

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: 4064

SCG Healthcare Blog

SCG Healthcare Blog

By State Capital Group.

http://healthcare.scglegal.com/
  • 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…
  • Jul 10

    The Compounding Regulations Surrounding Drug Compounding

    The Compounding Regulations Surrounding Drug Compounding
    Drug compounding as a practice has, until recently, been met with far looser regulation than the manufacture of drugs. This practice serves to meet the needs of individuals who require certain formulations not available in manufactured form,…
  • May 21

    What Physicians Should Know About New Kentucky Law Regarding Physician Assistant

    What Physicians Should Know About New Kentucky Law Regarding Physician Assistant
    During the 2015 legislative session of the Kentucky General Assembly, HB 258 was approved by lawmakers and signed by Governor Beshear. This legislation amends KRS 311.854 to allow a physician to supervise up to four physician assistants at…
Rank this Week: 4392

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: 4398

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/
  • Jul 23

    Will § 4980H Require Judicial Amendment Too?

    Will § 4980H Require Judicial Amendment Too?
    Occasionally, a deep dive into a real world scenario opens our eyes to a plausible, alternate understanding of an important ACA term or rule.  Here’s one.  We’re embarrasssed to admit that our…
  • Jul 22

    Simple ACA Rules for Simple (But Not Small) Employer

    Simple ACA Rules for Simple (But Not Small) Employer
    You’re an ACA “Applicable Large Employer,” but not by much. You have three executives, none of whom has any HR or benefit plan expertise. You rely on a local payroll service and your insurance agent. You hope they are on top…
  • Jul 20

    Final Regulations Issued Concerning ACA’s Preventive Services Mandate

    Final Regulations Issued Concerning ACA’s Preventive Services Mandate
    Last week the Agencies (DOL, HHS and IRS) issued final regulations concerning ACA’s preventive services mandate. This mandate requires non-grandfathered plans to cover specific preventive services, such as immunizations, mammograms, and…
Rank this Week: 4435

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: 4474

Marijuana Law, Policy & Reform

Marijuana Law, Policy & Reform

Edited by Douglas A. Berman.

http://lawprofessors.typepad.com/marijuana_law/
  • Jul 30

    "Why marijuana legalization is the rare issue that divides the 2016 Republican presidential field"

    "Why marijuana legalization is the rare issue that divides the 2016 Republican presidential field"
    The title of this post is the headline of this new commentary by Paul Waldman at The Week. Here are excerpts: Republicans, as everyone knows, are advocates of "states' rights," the theory being that power residing in the hands of…
  • Jul 30

    First Native American tribe in marijuana business expecting monthy sales of $2 million

    First Native American tribe in marijuana business expecting monthy sales of $2 million
    This new article, headlined "Indian tribes set to begin marijuana sales," reports on the plans and expectations of the first Native American tribe entering the marijuana industry. Here are the details: Tourists soon may be able to…
  • Jul 27

    "Sorting Through the Marijuana Mess in Ohio"

    "Sorting Through the Marijuana Mess in Ohio"
    The title of this post is the headline of this new lengthy discussion of some of the notable (and notably distinct) marijuana reform developments in Ohio authored by Keith Stroup, NORML Legal Counsel. Especially for anyone trying to keep…
Rank this Week: 4586

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: 4628

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/
  • 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…
  • Jul 10

    Physician Reimbursement for End of Life Planning

    Physician Reimbursement for End of Life Planning
    The Centers for Medicare and Medicaid Services released a proposed regulation, as part of the proposed Medicare Physician Fee Schedule rule, that allows doctors to be reimbursed for end of life planning with patients. These counselling…
Rank this Week: 4740

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: 4816

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
  • 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…
  • Jul 5

    Sander = Sandter 1953

    Sander = Sandter 1953
    Die Marke SANDER wird trotz geringer Umsatzzahlen rechtserhaltend benutzt. Das Zeichen ist mit der Marke SANDTER 1953 klanglich verwechselbar ähnlich. Sachverhalt Die NetMed S.à.r.l. aus Luxemburg meldete die Marke SANDTER 1953…
Rank this Week: 5084