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In-home and community services for the elderly may include things such as homemaker and personal assistance services, chore maintenance, adult day care, residential repair, health screening, monitoring and maintenance, emergency response, instruction, training, transportation, hospice services and services provided in a senior center. [read post]
7 Nov 2016, 7:22 pm by Kevin LaCroix
In the following guest post, John Reed Stark, President of John Reed Stark Consulting and former Chief of the SEC’s Office of Internet Enforcement, examines these issues as part of a comprehensive review the legal issues pertaining to electronic evidence gathered and sought during criminal and civil investigations. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
FAQ 31 supplements this previous Agency guidance by confirming that group health plans and health insurers may develop a standard exception form with instructions that an attending provider may use to prescribe a particular service or FDA-approved item based on a determination of medical necessity with respect to the individual involved and suggests the Medicare Part D Coverage Determination Request Form as an appropriate model for the development of such forms. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
FAQ 31 supplements this previous Agency guidance by confirming that group health plans and health insurers may develop a standard exception form with instructions that an attending provider may use to prescribe a particular service or FDA-approved item based on a determination of medical necessity with respect to the individual involved and suggests the Medicare Part D Coverage Determination Request Form as an appropriate model for the development of such forms. [read post]
11 Apr 2016, 10:15 am by Cynthia Marcotte Stamer
The current and 2017 SBC Template along with instructions for its preparation and completion, model translation documents for certain forms, and other information about the SBC requirements are available here. [read post]
11 Apr 2016, 10:15 am by Cynthia Marcotte Stamer
The current and 2017 SBC Template along with instructions for its preparation and completion, model translation documents for certain forms, and other information about the SBC requirements are available here. [read post]
23 Mar 2016, 2:38 pm by Cynthia Marcotte Stamer
There are exceptions to the filing requirements, and these are noted in the Form LM-10 instructions. [read post]
23 Mar 2016, 2:38 pm by Cynthia Marcotte Stamer
There are exceptions to the filing requirements, and these are noted in the Form LM-10 instructions. [read post]
9 Mar 2016, 4:48 pm by Cynthia Marcotte Stamer
She also has served as an Editorial Advisory Board Member for human resources, employee benefit and other management focused publications of BNA, HR.com, Employee Benefit News, InsuranceThoughtLeadership.com and many other prominent publications and speaks and conducts training for a broad range of professional organizations and fo [read post]
9 Mar 2016, 4:48 pm by Cynthia Marcotte Stamer
She also has served as an Editorial Advisory Board Member for human resources, employee benefit and other management focused publications of BNA, HR.com, Employee Benefit News, InsuranceThoughtLeadership.com and many other prominent publications and speaks and conducts training for a broad range of professional organizations and fo [read post]
2 Mar 2016, 5:00 pm by Cynthia Marcotte Stamer
(Blue Cross) to transmit its files on the Plan’s eligibility, medical claims, and phar­macy claims for the Plan’s Vermont members to the state data base, Liberty Mutual was concerned that the disclosure of such confidential information might vio­late its fiduciary duties,  It instructed Blue Cross not to comply and sued seeking a declaratory judgement that ERISA pre-empts application of Ver­mont’s statute and regulation to the Plan and an… [read post]
25 Feb 2016, 1:00 pm by Blake Marcus
After the officer medically clears the suspect, the officer will instruct the suspect to raise either leg in the air, 6 inches above the ground, keeping his foot parallel to the ground. [read post]
2 Feb 2016, 6:36 pm by S2KM Limited
S2KM was introduced to peer instruction by Forge Consulting, a personal injury settlement planning company which utilizes peer instruction to accelerate learning among its new employees. [read post]
24 Dec 2015, 4:00 am by Administrator
Instead, the case method is a participant-centered education model in which the students play a leading role in their own learning and that of their peers. [read post]
15 Oct 2015, 6:36 pm by Kenneth Vercammen Esq. Edison
    The federal Centers for Medicare & Medicaid Services (CMS) estimates that $17 million in Medicare funds is spent each year on unnecessary hospital readmissions. [read post]
25 Sep 2015, 10:52 am by Patrick A. Malone
” The federal advisory included instructions for medical personnel to follow proper cleaning procedures, and allow enough time for thorough disinfection. [read post]
21 Aug 2015, 6:07 pm by Cynthia Marcotte Stamer
  Even when not a fiduciary, however, insurance, administrative services or other plan vendors and consultants also should keep in mind that employers and fiduciaries that incur unexpected excise tax or other liability for an improperly designed or administered plan are likely to look to the consultants and brokers, administrative or other services or other vendors or advisors they relied on to help design or administer the group health plan. [read post]
21 Aug 2015, 11:24 am by Cynthia Marcotte Stamer
Meanwhile, President Obama is moving to help ensure that his Presidential Legacy includes implementation of ACA and to mitigate ACA’s budgetary impacts by collecting excise tax and other penalties from insurers, plan administrators and employers by instructing the Tri-Agencies to move forward on full implementation and enforcement of ACA and other federal health plan rules. [read post]