Search for: "Health Services Management Group"
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13 Nov 2013, 8:06 am
Note that the Affordable Care Act (ACA) separately includes mental health and substance use disorder services as an “essential health benefits” category that must be provided by health plans offered in the individual and small group markets beginning in 2014. [read post]
19 Feb 2009, 2:10 pm
Jason joins CHC after working with Transition Health Services as the Director of Hospital Division, with responsibility for five LTACHs in Texas and Oklahoma. [read post]
23 Jun 2011, 3:06 pm
Remember, all of these services are not bad to use; in fact, I highly recommend them. [read post]
13 Jul 2018, 10:37 pm
Earl Blumenauer (D-OR), which also would expand HSA access and utility by allowing spouses to also make contributions to HSAs is their spouse has an FSA and lets employers offer certain services to employees through on-site or retail clinics. [read post]
16 Sep 2014, 6:30 am
When payers can aggressively and proactively manage narcotic utilization, they minimize risks for misuse and improve health outcomes for injured workers. [read post]
16 Feb 2010, 1:51 pm
Other Changing Health Plan Requirements Also Merit Attention Employer and other group health plans sponsors, insurers, fiduciaries, administrators and service providers should timely update their group health plan terms, practices, notices, policies and procedures in response to these new requirements. [read post]
31 Oct 2016, 12:45 pm
Service providers such as asset managers, banks and insurance companies are likewise impacted by bad governance and unchecked risk-taking. [read post]
5 Jul 2018, 2:41 am
Citing an interest in improving its processes and eliminating unnecessary requirements, CMS is hosting July 13, 2018 “Provider Compliance Focus Group” meeting regarding Medicare fee-for-service compliance topics, including medical review, targeted probe and educate, and Recovery Audit Contractors. [read post]
16 Feb 2017, 3:01 pm
Stamer’s legal, management and governmental affairs work has focused on helping health industry, health benefit and other organizations and their management use the law, performance and risk management tools and process to manage people, performance, quality, compliance, operations and risk. [read post]
13 Oct 2014, 5:31 am
The complaint contends that the churches' health plans were changed without their consent to comply with the California Department of Managed Health Care's directive interpreting the scope of "basic health care services. [read post]
25 Apr 2017, 3:21 pm
Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties in the case of CMS… [read post]
14 Nov 2010, 11:50 am
Department of Health and Human Services that will provide support for groups seeking to improve the quality of care at nursing homes. [read post]
15 Sep 2015, 4:42 am
Well known for her extensive work with health care, insurance and other highly regulated entities on corporate compliance, internal controls and risk management, her clients range from highly regulated entities like employers, contractors and their employee benefit plans, their sponsors, management, administrators, insurers, fiduciaries and advisors, technology and data service providers, health care, managed care and insurance, financial… [read post]
3 Oct 2010, 5:29 pm
Her insights on these and related topics have appeared in Atlantic Information Service, Bureau of National Affairs, World At Work, The Wall Street Journal, Business Insurance, Managed Healthcare, Health Leaders, various ABA publications and a many other national and local publications. [read post]
11 Dec 2016, 8:41 am
Similar tools are being applied to employer-sponsored group health plans. [read post]
4 Jul 2017, 11:53 pm
Alternative model – MSO If the healthcare licensee (let’s say MD) is going to be providing medical services, then an alternate structure is to create a medical management services organization (MSO) to provide management, advertising, and marketing services to the professional corporation. [read post]
28 Aug 2018, 8:39 am
Presented by our Wage and Hour practice group, this webinar will focus on wage and hour developments affecting the hospitality and home health care industries, although much of the information will also be of interest to employers in other industries. [read post]
16 Feb 2011, 4:24 pm
The defendants worked with and for American Therapeutic Corporation (ATC) and Medlink Professional Management Group Inc. allegedly submitting false claims for medically unnecessary services and services that were not actually rendered. [read post]
18 Apr 2023, 10:14 am
Department of Health and Human Services that provides information and resources on mental health. [read post]
5 Mar 2014, 11:06 am
Her publications and insights appear in the Health Care Compliance Association, Atlantic Information Service, Bureau of National Affairs, World At Work, The Wall Street Journal, Business Insurance, the Dallas Morning News, Modern Health Care, Managed Healthcare, Health Leaders, and a many other national and local publications. [read post]
