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16 Mar 2012, 8:32 am
The first enforcement action from a breach report required by the Health Information Technology for Economic and Clinical Health (HITECH) Act Breach Notification Rule has resulted in an agreement by Blue Cross Blue Shield of Tennessee (BCBST) to pay the Department of Health and Human Services (HHS) $1.5 million. [read post]
4 Nov 2009, 6:21 am
The case recently settled for over $1 million, and under the settlement, Blue Cross will pay for behavioral therapy rendered to over 100 children in the last six years. [read post]
21 Nov 2008, 3:30 pm
Question for America's Health Insurance Plans and the Blue Cross and Blue Shield Association: What part of "risk" don't you rocket surgeons understand? [read post]
28 Mar 2020, 6:58 pm
The Department of Justice sued Anthem Blue Cross Blue Shield on Thursday for Medicare fraud after Anthem submitted inaccurate medical codes to receive higher Medicare reimbursement. [read post]
3 Mar 2009, 7:48 pm
But what about the doctor in the operating room that is "out of plan" or not a part of the Blue Cross Blue Shield plan? [read post]
8 Feb 2015, 2:44 pm
., including Anthem Blue Cross and Blue Shield and other related entities (Anthem). [read post]
14 Mar 2012, 10:13 am
The HHS Office for Civil Rights (OCR) announced a settlement of $1.5M with Blue Cross Blue Shield of Tennessee (BCBST) relating to potential violations under the HIPAA Privacy and Security Rules. [read post]
10 Apr 2008, 6:48 pm
Thanks to efficient project management, funds remain from the Blue Cross Blue Shield of Massachusetts grant originally intended to finance the pilot through June 2008. [read post]
19 Mar 2007, 1:27 pm
Blue Cross/Blue Shield of Alabama, No. 05-15169 (11th Cir. [read post]
14 Feb 2011, 10:50 am
"Blue Cross is not to be confused with Blue Shield in this instance: the "Shield" has not agreed to the moratorium. [read post]
10 May 2012, 11:34 am
Two audits show contract insurers Blue Cross and Blue Shield and United Health Care failed to effectively monitor bills, with one showing Empire overpayments in 57 percent of claims reviewed and another showing 12 percent of United payments for special patient evaluations were unwarranted. [read post]
3 Apr 2009, 6:16 am
He was recently arrested by investigators with the Attorney General's Office and charged with one count of insurance fraud and one count of wire fraud for allegedly submitting false claims to Blue Cross Blue Shield. [read post]
18 Oct 2011, 9:00 am
The event included speakers such as Alisa Bennett from Blue Cross Blue Shield of Michigan; Greg Rhodes from Mercer Health and Benefits, LLC; Margo Johnson from Mercer Health and Benefits, LLC; Nancy McKeague from Michigan Health and Hospital Association (MHA); and Julie Mann from JMann Consulting Group. [read post]
10 Nov 2012, 5:00 am
The event is presented by the Eastern Athletic Trainers Association and the New York State Athletic Trainers Association and is sponsored by Blue Cross/Blue Shield of Western New York. [read post]
11 Dec 2017, 6:12 am
Here: Saginaw Chippewa Opening Brief BCBS Brief Reply Brief [read post]
8 Dec 2010, 10:56 am
., (the Act) in 1994 to allow Blue Cross Blue Shield of Michigan (BCBSM) to purchase the state accident fund, a for-profit workers’ compensation insurer, BCBSM formed the Accident Fund as a wholly-owned, for-profit Michigan stock insurance subsidy. [read post]
Superiority Requirement for Class Certification: New Sixth Circuit Decision Makes Interesting Points
23 Aug 2011, 5:00 am
Blue Cross Blue Shield of Michigan, 2011 U.S. [read post]
15 May 2013, 3:05 pm
Blue Cross Blue Shield of Vermont denied 7.6% of claims, MVP denied 15.5% of claims, and Cigna denied 21% of claims. [read post]
7 Jan 2011, 7:13 pm
And this is being done as Republicans in Congress are trying (fortunately in vain) to repeal the recently enacted health care reforms, which if they were successful would allow companies like Blue Cross and Blue Shield to drop sick policyholders, deny coverage based on preexisting conditions, and rescind policies when a healthy person files a claim. [read post]
24 Apr 2012, 10:25 am
On the heels of its $1.5 million settlement with a large payor, Blue Cross Blue Shield of Tennessee, the Department of Health and Human Services Office for Civil Rights (OCR) announced on April 17, 2012, that it settled with a small physician practice for HIPAA safeguard violations. [read post]
