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19 Dec 2023, 4:48 pm by Cynthia Marcotte Stamer
$115 is the fee that health plans participating in the Independent Dispute Resolution (“IDR”) process required by the No Surprises Act (the “NSA”) to resolve disputes with health care providers, facilities, and providers of air ambulance services (“providers”) over the amount the health plan will pay the provider for out-of-network health care or items for because the health plan and provider cannot reach agreement about the appropriate amount outside the IDR… [read post]
15 Dec 2023, 8:55 am by Cynthia Marcotte Stamer
  Solutions Law Press, Inc. invites you to receive future updates by registering on our Solutions Law Press, Inc. [read post]
6 May 2015, 8:49 am by Cynthia Marcotte Stamer
  Her publications and insights appear in the ABA and other professional publications, HR.com, SHRM, Insurance Thought Leadership, Health Care Compliance Association, Atlantic Information Service, Bureau of National Affairs, World At Work, The Wall Street Journal, Business Insurance, the Dallas Morning News, Modern Health Care, Managed Healthcare, Health Leaders, and a many other national and local publications. [read post]
5 Feb 2016, 7:55 am by Schachtman
Vitale did manage to spotlight an error in Dr. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
If a business sponsored a health plan that violated the ACA claims and appeals rules or any other health plan rule subject to the Form 8928 filing requirement in 2014 or thereafter, the business should take prompt, well-documented actions to self-correct the violation or timely must file the required Form 8929 and pay the applicable $100 per violation per day excise tax since proof of good faith efforts to maintain compliance, proof of self-correction,… [read post]
5 Jan 2018, 5:35 am by Cynthia Marcotte Stamer
  In addition, five days after releasing the March 4, 2017 Breach 8-K, 21CO notified investors that its subsidiary, 21st Century Oncology, Inc. [read post]
1 Feb 2022, 4:08 pm by Ben Vernia
CMS adjusts the payments for various “risk” factors that affect expected healthcare expenditures to ensure that plans are paid more for enrollees who pose a greater risk. [read post]
15 Dec 2018, 7:41 am by Cynthia Marcotte Stamer
They further urge that  if they are correct, the balance of the ACA is untenable as inseverable from the Invalid Mandate. [read post]
1 Apr 2019, 12:07 pm by Cynthia Marcotte Stamer
Business is concerned about managing these risks definitely need to act to submit supportive comments during the currently running 60-day comment period. [read post]