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17 Sep 2010, 5:20 pm
According to the AG, the roster of list of physicians constituted a referral, since “refer” means “send or direct for treatment. [read post]
17 Sep 2010, 11:39 am
· Insurance issues including billing, coding, and special issues pertaining to Medicare patients. [read post]
17 Sep 2010, 9:16 am
Getting billing information regarding insurance company experts and consultants is crucial. [read post]
16 Sep 2010, 9:43 am
The Insurance Carrier should be Selected Solely on Price It is tempting for an employer to think all insurance carriers are alike and to make the selection of the insurance company (or the third party administrator if self insured) based on the price quoted. [read post]
15 Sep 2010, 8:39 am
Liberty Mutual Insurance Company, 316 So.2d 783 (La.App. 1st Cir. 1975). [read post]
14 Sep 2010, 9:15 am
For example, if private insurers were allowed in, companies would cherry-pick only the safest jobs to insure, providing them with the largest profit. [read post]
14 Sep 2010, 9:15 am
For example, if private insurers were allowed in, companies would cherry-pick only the safest jobs to insure, providing them with the largest profit. [read post]
13 Sep 2010, 6:40 am
Mental/nervous claims in most policies are subject to a 24 month benefit limitation, and many insurance companies try to get claims reclassified whenever this is a possibility. [read post]
12 Sep 2010, 1:06 pm
The NCM can be employed by the workers compensation insurance carrier, the self-insured employer, the third party administrator or by the medical provider, such as an orthopedist. [read post]
11 Sep 2010, 9:26 pm
The statute states that a compensation arrangement shall not include: (i) payments made for the rental or lease of office space, if (A) there is a written agreement, signed by the parties, for the rental or lease of the space, which agreement specifies the space covered by the agreement and dedicated for the use of the lessee, provides for a term of rental or lease of at least one year, provides for a payment on a… [read post]
11 Sep 2010, 6:14 am
The plaintiffs in Fenton were insurance investigators employed by a company to investigate potentially fraudulent insurance claims. 663 F.Supp.2d at 721. [read post]
8 Sep 2010, 6:52 am
Premium insurance fraud is committed when an employer intentionally misrepresents to the State or his/her insurance company the number of employees, the nature of work performed by certain employees, the amount of payroll, and the loss history. [read post]
3 Sep 2010, 5:21 am
Selected articles concerning employment related issues noted by law firmsSource: The Lexology newsfeed[New users can register free of charge at www.lexology.com/account/register.aspx]Click on the Heading of the item to access the full text of the article.Pennsylvania - Third Circuit holds that a party cannot “opt out” of the Federal Arbitration Act in its entiretyJorden Burt LLPThe Third Circuit has affirmed a judgment in favor of several foreign reinsurers confirming… [read post]
1 Sep 2010, 5:04 pm
Thus, the Court of Appeals determined that the an injured employee may bring separate workers’ compensation actions against a direct employer and statutory employer under Section 171 without having to join all potentially liable parties in a single action. [read post]
26 Aug 2010, 5:06 pm
Summary There are many ways an employer can decrease the cost of workers compensation insurance. [read post]
25 Aug 2010, 4:23 pm
You should consult with your insurance broker or agent about workers comp issues. [read post]
24 Aug 2010, 4:14 am
Lynch allegedly had a “secret arrangement” with the consultant and his employer, the court said. [read post]
23 Aug 2010, 4:41 pm
(WCxKit) “Employers must ensure company policies are applied equally,” said Anna Park, regional attorney of the EEOC’s Los Angeles District Office. [read post]
23 Aug 2010, 8:10 am
For example, banks, credit unions, insurance companies, debt collectors, and a variety of other finance-related entities are exempted from the rule. [read post]
22 Aug 2010, 10:10 am
In addition, the private insurers who administer Medicare are required by their contracts with the government to audit whether they suspect improprieties or not.Your practice may also be subject to audits from insurance companies and health maintenance organizations (HMOs). [read post]
