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1 Jun 2018, 3:03 am by Edward Smith
There is never a bad time to work on yourself, whether it’s by strengthening your mental health, your body, or giving back to your local community. [read post]
Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
Are You Aware of Health Care Fraud? [read post]
25 May 2018, 7:00 am by Jenny Gesley
And why should you care about an EU law if you live in the United States? [read post]
6 May 2018, 8:35 pm by Lisa Milam-Perez
She alleged that, although she was unpaid (and did not receive health insurance, sick pay, or vacation), the network and the anchor dictated her schedule and the terms of her appearance. [read post]
3 May 2018, 12:05 pm by Julia Stoyanovich
Addressing the opioid epidemic An effective response to the opioid epidemic requires coordination between at least three sectors: health care, criminal justice, and emergency housing. [read post]
12 Apr 2018, 7:42 pm by Cynthia Marcotte Stamer
Specifically, the Act: Prohibits employers from keeping tips received by their employees, regardless whether the employer takes a tip credit under 29 U.S.C. [read post]
6 Mar 2018, 10:00 am by David Kris
” I argued that this approach “complicates strategic planning, because it requires a detailed understanding of our various counterterrorism tools” and the threats they are designed to meet, and a careful comparison of the relative value of each tool in each specific case.[2] On that approach, to assess whether the IRA indictment is effective, we need to do more than identify its potential downsides. [read post]
15 Feb 2018, 4:41 pm by Cynthia Marcotte Stamer
HIPAA Privacy, Security & Breach Notification Rule Responsibilities & Risks The Privacy Rule requires that health plans, health care providers, health care clearinghouses (Covered Entities) and their vendors that qualify as “business associates” under HIPAA comply with detailed requirements concerning the protection, use, access, destruction and disclosure of protected health information. [read post]
2 Feb 2018, 8:57 am by Cynthia Marcotte Stamer
  HIPAA Privacy, Security & Breach Notification Rule Responsibilities & Risks The Privacy Rule requires that health plans, health care providers, health care clearinghouses (covered entities) and their vendors that qualify as “business associates” under HIPAA comply with detailed requirements concerning the protection, use, access, destruction and disclosure of protected health information. [read post]
30 Jan 2018, 7:01 pm by Chuck Finder
Related Story Study finds strategies to encourage 50 percent tax-refund saving This tax reform also could have a chilling effect on the millions of Americans insured under the Affordable Care Act, he writes: “By getting rid of the individual mandate, the tax law may encourage healthy-individuals to not get health insurance. [read post]
5 Jan 2018, 9:16 am by Gritsforbreakfast
This 17-minute podcast from the Urban Institute lays out the problem of too-long sentences and shows why reducing them is key to ending mass incarceration.Healthcare spending reduces crime, violenceIn the big picture, the observation from the Brookings Institute that health care spending prevents crime makes loads of sense. [read post]
5 Jan 2018, 5:35 am by Cynthia Marcotte Stamer
  Among other things, the corporate integrity agreement required by that settlement required 21CO to appoint a compliance officer and take other steps to maintain compliance with federal health care laws. [read post]
3 Jan 2018, 6:18 pm
(Pix credit: Marc Frank for Reuters) Even as the United States retreated from direct economic connections with Cuba, the European Union sought to step into the space left by the American action. [read post]
21 Dec 2017, 9:22 pm by Dan Flynn
Now 83 years old and under the care of prison cardiologists, DeCoster was a “habitual violator” of environmental laws, paid millions for fostering conditions involving harassment and assault and pleaded guilty to hiring illegal aliens. [read post]
18 Dec 2017, 4:43 pm by Cynthia Marcotte Stamer
  A primary drafter of the Bolivian Pension Privitization law who also has worked on workforce, tax, employee benefits, health care, insurance, safety, immigration, privacy and data security and other federal and state legal reforms domestically and internationally throughout her adult life, Ms. [read post]
16 Dec 2017, 8:50 am
(pix credit; here)The Statement on Visit to the USA, by Professor Philip Alston, United Nations Special Rapporteur on extreme poverty and human rights has just been posted to the UN's website. [read post]