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6 Nov 2013, 6:46 am by Michael B. Stack
The return on investment of top quality physician review services can be impressive. [read post]
6 Sep 2013, 6:30 am by Rebecca Shafer, J.D.
  If the utilization review nurse does not agree a medical service is needed, the nurse will escalate the review to a physician for review. [read post]
25 Dec 2014, 10:25 am by Schachtman
BOC Group Inc., No. 1:04-CV-18948, 2008 WL 2796726 (N.D.Ohio July 18, 2008)(denying Rule 702 challenge to treating physician’s causation opinion), rev’d sub nom. [read post]
13 Jan 2014, 7:14 am by Michael B. Stack
The primary physician often engages other specialists, therapy services, diagnostic testing, pharmacy usage, etc. [read post]
10 Jul 2020, 11:07 am by luiza
Oklahoma Center for Orthopaedic and Multi-Specialty Surgery (OCOM), a specialty hospital affiliated with Tenet Healthcare in Oklahoma City, Oklahoma, its part-owner and management company, USP OKC, Inc. and USP OKC Manager, Inc. [read post]
9 Jan 2020, 11:03 am by Green and Associates
Kumar admitted that from February 2011 until May 2016, he defrauded the Medicare health care benefit program by prescribing unnecessary home health services in exchange for the payment of illegal kickbacks to him from a La Verne-based home health agency called Star Home Health Resources, Inc. [read post]
28 Mar 2011, 8:03 am by Todd Rodriguez
First, make sure that the services in question are actually within the period subject to RAC review. [read post]
8 Jul 2020, 8:48 am by Ben Vernia
  The CIAs require, among other things, that OCOM and SOS each maintain a compliance program and hire an Independent Review Organization to review arrangements entered into by or on behalf of their respective entities. [read post]
3 Jan 2011, 6:48 pm by JT
Term 1st Dept. 2011) Defendant demonstrated, through the affirmed peer review report of a physician, that the medical supplies plaintiff-provider afforded to its assignor were not medically necessary (see generally CPT Medical Services, P.C. v New York Cent. [read post]
24 Sep 2009, 10:38 am
Grassley sent letters Tuesday to the chief executive of Minnesota's Fairview Health Services, and the director of Team Spine-Minnesota Inc., requesting information regarding their relationship with Dr. [read post]
5 Mar 2015, 2:48 pm
Examworks, Inc., the court reviewed whether or not a licensed physical therapist used by the insurance company to conduct the IME was a "physician" under the statute. [read post]
29 Dec 2023, 7:00 am
EXPERT FAILED TO EVINCE FAMILIARITY WITH NURSING PRACTICESIn a medical malpractice action filed with the Nassau County Supreme Court, the defendants – Gentiva Health Services, Inc., and Gentiva Services of New York, Inc. [read post]
12 Aug 2019, 7:05 pm by Cynthia Marcotte Stamer
Department of Health and Human Services, Office for Civil Rights (“OCR”) arising from a civil rights compliance review OCR initiated after federal and state criminal investigations found that an osteopathic physician Larry Nassar sexually abused gymnasts and others while employed as an associate professor by MSU. [read post]
17 Apr 2012, 6:36 pm by Cynthia Marcotte Stamer
The $100,000 settlement with an Arizona-based physician group announced today by the Department of Health & Human Services (HHS) Office of Civil Rights (OCR) under the Health Insurance Portability & Accountability Act of 1996 (HIPAA) demonstrates the need for all health care providers, health plans, health care clearinghouses (covered entities) and their business associates to maintain appropriate HIPAA compliance and risk management procedures and documentation. [read post]