Search for: "Blue Cross and Blue Shield Investigators" Results 1 - 20 of 189
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20 Apr 2024, 6:37 pm
-China Economic and Security Review Commission was created by the United States Congress in October 2000 with the legislative mandate to monitor, investigate, and submit to Congress an annual report on the national security implications of the bilateral trade and economic relationship between the United States and the People’s Republic of China, and to provide recommendations, where appropriate, to Congress for legislative and administrative action. [read post]
13 Feb 2024, 11:53 am by Phil Dixon
Procedure for this type of investigation requires that the inmate use a portable toilet lined with a biohazard bag, which is then inspected by guards. [read post]
26 Jan 2024, 3:00 am by Jim Sedor
That prompted investigations from the Department of Justice, though no charges were filed. [read post]
4 Dec 2023, 2:29 pm by Currin Compliance
Rhode Island Cracks Down on Agent: License Revoked Amidst a Trail of Incompetence, Dishonesty, and Fraud with Multiple Insurance CarriersThe investigation by the Rhode Island Department of Business Regulation into licensed agent, Bruno Raguso (Raguso or Respondent), after receiving “various complaints” about…↓ READ MORE ↓ ICI Member LOG IN or SUBSCRIBE today! [read post]
27 Nov 2023, 11:27 am by Currin Compliance
Department of the Treasury’s Financial Crimes Enforcement Network in conjunction with the Internal Revenue Service’s Criminal Investigation (CI) issued notice FIN-2023-Alert007…↓ READ MORE ↓ ICI Member LOG IN or SUBSCRIBE today! [read post]
13 Nov 2023, 10:58 am by Currin Compliance
Illinois Fines Blue Cross Blue Shield of Illinois $231,900 on Provider DirectoriesIn a follow-up investigation of company practices, the Illinois Department of Insurance (Department) fined the Health Care Services Corporation (HCSC), parent company of Blue Cross Blue Shield of Illinois (BCBSI) for apparent violations of the state’s Network Adequacy and Transparency Act (NATA). [read post]
26 Sep 2023, 2:30 pm by Dennis Crouch
Blue Cross Blue Shield of Mich., 825 F.3d 299, 305 (6th Cir. 2016). [read post]
7 Aug 2023, 1:01 pm by centerforartlaw
US Blue Shield is providing advice and assistance whenever possible, along with Blue Shield International. [read post]
25 May 2023, 11:33 am by jeffreynewmanadmin
Vasso Godiali, a vascular surgeon from Bay City, Michigan, was sentenced to 80 months in prison for orchestrating a multimillion-dollar scheme to defraud health care programs by submitting claims for the placement of vascular stents and for thrombectomies that he did not perform and was ordered to pay $19.5 million in restitution collectively to Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan (BCBSM). [read post]
28 Apr 2023, 1:20 pm by Roger Parloff
(Rehl, his wife, and a Rehl-hired investigator testified that it wasn’t Rehl’s voice.) [read post]
20 Apr 2023, 12:52 pm by Eugene Volokh
Blue Cross & Blue Shield United of Wisconsin, 112 F.3d 869, 872 (7th Cir. 1997) ("Should 'John Doe' 's … records contain material that would be highly embarrassing to the average person yet somehow pertinent to this suit and so an appropriate part of the judicial record, the judge could require that this material be placed under seal. [read post]
22 Feb 2023, 1:07 pm by Dennis Crouch
International Trade Commission has required elevated forms of self-disclosure about corporate status for years, with on of the five sitting Administrative Patent Judges (APJs), Cameron Elliot, recently ordering litigation finance discovery in three investigations—perhaps with more on the way, as NPEs and funds have sought to use the ITC more frequently recently to exert leverage in litigation. [25] These disclosure orders and laws come in response to the growing permissibility,… [read post]
14 Sep 2022, 8:28 am by Robbie Kenney
The untenable increases should have been mitigated by an offset of pandemic monies received by the State coupled with more effective negotiations with insurers and enforcement of contracts that require Horizon Blue Cross Blue Shield to provide more transparency on provider costs and quality. [read post]
2 Sep 2022, 4:33 pm by Cynthia Marcotte Stamer
As companies that purchased health insurance and their employees or other individuals who received health insurance from certain Blue Cross Blue Shield entities wait to hear how to claim their share of the $2.67 billion In re: Blue Cross Blue Shield Antitrust Litigation private federal class action civil antitrust lawsuit settlement (“Settlement”) finally approved August 9, 2022 against the Blue… [read post]
12 Aug 2022, 4:24 am by Ashley Morgan
Most payors still include Fluid Flow on their experimental and investigational list for all orthopedic conditions.[9] As policies are updated, some payors, like Blue Cross Blue Shield of Rhode Island,[10] are considering some uses of the product as medically reasonable. [read post]
18 Mar 2022, 4:00 am by Jim Sedor
Those who have sought disciplinary responses say the post-election conduct crossed ethical lines into the realm of professional misconduct, and that the tactics were well outside the normal bounds of legal challenges to election procedures. [read post]