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7 Feb 2019, 3:03 pm by Cynthia Marcotte Stamer
  Along with acting to ensure their own organization’s ability to defend their HIPAA compliance, Covered Entities and their leaders also should take advantage of the opportunity to provide input to OCR on opportunities for simplifying and improving OCR’s HIPAA regulations and enforcement by submitting relevant comments by February 12, 2019 to a Request for Information published by OCR in December that invites suggestions for simplifying or making other improvements to OCR’s… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
If a recommendation or guideline does not specify the frequency, method, treatment, or setting for the provision of a recommended preventive service, then the plan or issuer may use reasonable medical management techniques to determine any such coverage limitations. [read post]
15 Aug 2020, 4:29 am by Joel R. Brandes
The Executive Order extends the provisions tolling the Statute of Limitations until August 5, 2020 and ends the suspension of several laws related to criminal matters. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
  As implemented by current Department of Labor Regulations, these ACA claims and appeals procedures require that group health plans (other than grandfathered plans) both comply with: All of the pre-existing ERISA claims and appeals rules; and Notify members or their beneficiaries of their rights to and provide for independent review of coverage rescission decisions and medical judgment-based claims denials in accordance with detailed rules set forth in the Labor Department… [read post]
21 Jul 2020, 11:51 am by bhorton
Not only are courts often unwilling to address who is harmed by their decisions, but courts are primarily limited to interpreting laws. [read post]
26 Nov 2012, 2:38 am by Russell Beck
  Well, at least according to a recent decision by the Court of Appeals of Michigan in Michigan One Funding, LLC v. [read post]
21 Aug 2023, 2:21 am by Kurt R. Karst
Livornese —I saw the sign…and the answer is no—FDA-approved labeling apparently is not enough under state failure-to-warn laws, according to certain courts. [read post]
21 Apr 2020, 4:41 pm
"And yet, COVID-19 has exposed both the ubiquity of the premises that define the structure of this discursive universe, as well as its limitations where politics, indeed, might still assert an autonomy beyond the reach of either law or its disciplinary mechanisms. [read post]
29 Mar 2011, 9:41 am by stevemehta
Plaintiff argued there is no allegation in the complaint that defendant’s conduct “fell below the standard of care for a medical or healthcare practitioner. [read post]
12 Mar 2020, 12:11 pm by Elin Hofverberg
Finally, the Decree lists measures to monitor the evolution of quarantined persons: Local law enforcement authorities are authorized to use the police, firefighters, and the armed forces, if necessary, to secure compliance with the measures contemplated in the Decree (art. 4(1)); and Lack of compliance with the Decree is punished according to art [read post]
18 Mar 2019, 5:30 pm by Carley Roberts and Mike Le
For example, the Board recently held the Louisiana Department of Revenue’s occasional sale rule for businesses in the “manufacturing, merchandising and other business” category exceeded the statute.28 The out-of-state taxpayer sold its 100 percent interest in a limited liability company doing business in Louisiana as a cementing tool manufacturer and included the gain from the sale in its Louisiana sales factor denominator but not the numerator.29 The department… [read post]
7 Apr 2024, 4:37 pm by INFORRM
Internet and Social Media Google is considering charging for premium AI-powered searches, according to the FT. [read post]
9 Mar 2016, 9:01 am by Cynthia Marcotte Stamer
For instance, in its recently released report, Not All of the District of Columbia Marketplace’s Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements, HHS OIG Report A-03-14-03301 (the ”D.C. [read post]
20 Jul 2012, 8:15 pm by Cynthia Marcotte Stamer
Both state-regulated insured health plans and federal and state employee plans generally are loaded with a long list of mandated benefits that self-insured health plans don’t provide or provide only on a more limited basis. [read post]
16 Nov 2007, 7:00 am
So they have tried to sell their cause -- to hospital administrators, healthcare reformers and advocates for the mentally ill -- as a matter of governmental responsibility. [read post]
12 Apr 2018, 7:01 pm by Cynthia Marcotte Stamer
According to the Labor Department, misclassified employees are often denied access to critical benefits and protections, such as family and medical leave, overtime, minimum wage and unemployment insurance and other rights. [read post]
10 Dec 2023, 1:48 pm by Yosi Yahoudai
Stay Informed about Your Legal Time Limits: Be aware of the statute of limitations for personal injury claims in California. [read post]