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9 Feb 2010, 9:32 am by Richard J. Webb
Participation in such networks generally requires the hospital, physician or other provider to contractually accept the payment schedule of an insurer as payment in full for services provided to any person covered by that insurer's network. [read post]
9 Jan 2021, 2:00 pm by Robert Liles
  While defending physicians and other health care providers in UPIC audits and government reviews, we have identified a relatively straight-forward approach for determining whether a particular claim qualifies for coverage and payment. [read post]
12 Aug 2014, 7:34 am by Andrew Delaney
The SCOV got several amici briefs from the Vermont Department of Health, the Defender General, and the Vermont Council on Development and Mental Health Services, Inc. [read post]
22 Oct 2014, 9:56 am by Ben Vernia
According to DOJ’s press release: DaVita Healthcare Partners, Inc., one of the leading providers of dialysis services in the United States, has agreed to pay $350 million to resolve claims that it violated the False Claims Act by paying kickbacks to induce the referral of patients to its dialysis clinics, the Justice Department announced today. [read post]
16 Oct 2009, 3:18 pm
President ITV Direct, Inc. / Direct Marketing Concepts, Inc, 100 Cummings Center, Suite 506E Beverly, MA 01915 Dear Mr. [read post]
12 Jan 2011, 12:45 pm by Cynthia Marcotte Stamer
If you find this of interest, you also be interested reviewing some of our other Solutions Law Press resources available for review here. [read post]
27 Feb 2010, 3:23 pm by Andis Kaulins
Mayo Collaborative Services), currently on petition for certiorari as follows:No. 09-In the Supreme Court of the United StatesMAYO COLLABORATIVE SERVICES (D/B/AMAYOMEDICAL LABORATORIES) ANDMAYO CLINICROCHESTER,Petitioners,v.PROMETHEUS LABORATORIES, INC. [read post]
13 Feb 2010, 7:33 am by Moseley Collins
The requirements for finding ostensible agency within the medical context are: (1) the service of the physician is performed on what appears to be the hospital's premises; (2) a reasonable person in plaintiffs position would believe that the physician's services are part and parcel of services provided by a hospital; and (3) the hospital does nothing to dispel this belief. [read post]
17 Aug 2016, 5:30 am by Kori Shafer-Stack
Following a determination by a physician reviewer, information for each case is posted to the DWC website. [read post]
7 May 2020, 9:05 pm by Lynn McDonough
  FLASHBACK FRIDAY In a 2019 essay for The Regulatory Review, Alexander Kondo of the U.S. [read post]