Search for: "Physicians Health Network"
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9 Apr 2014, 11:01 am
You can find out if specific physicians are part of your network, or call their offices to ask. [read post]
17 Jan 2022, 10:49 pm
The benefits that eligible members receive include: WTC Health Program-networked physicians and pharmacies provide all medically necessary treatment for certified 9/11-related conditions, including prescription medication. [read post]
31 Jan 2013, 10:57 am
Under this new requirement, if a patient pays her physician in full for a specific blood test and requests that the physician not disclose PHI that pertains solely to that blood test to the health plan, the physician must agree to this restriction unless the disclosure is otherwise required by law. [read post]
5 Jan 2024, 9:46 am
Two qui tam whistleblowers alleged that Methodist defrauded Medicare by illegally paying kickbacks to physicians. [read post]
10 Dec 2014, 6:27 am
An out-of-network health care provider business is one where a significant amount of the revenue is generated from commercial insurers with whom the health care provider does not have a contract. [read post]
10 Sep 2021, 8:16 am
Expanding Who Can Certify Covered Conditions Currently, the language of the law providing authorization for the federal 9/11 benefits programs requires participants in the WTC Health Program to obtain certification of covered 9/11-linked medical conditions from a physician. [read post]
2 Jun 2023, 9:23 am
“Paying doctors to refer patients for services paid for by federal health care programs can distort medical decision-making and result in medically unnecessary care,” said Principal Deputy Assistant Attorney General Brian M. [read post]
7 Feb 2019, 3:03 pm
Health plans and their employer and other sponsors, fiduciaries, administrators and other service providers, as well as health care providers, health care clearinghouses and their business associates (“Covered Entities”) should reconfirm the adequacy of their Health Insurance Portability and Accountability Act (“HIPAA”) compliance and risk management in light the U.S Department of Health and Human Services Office of Civil Rights… [read post]
20 Dec 2021, 4:44 pm
A review of the OCR data base of unsecured electronic protected health information breaches reveals that OCR has received a wave of required unsecured electronic health information breach notifications impacting 500 or more individuals arising from hacking of electronic systems or e-mail since January 1, 2021, including notices from Apple Blossom Family Practice VA Healthcare Provider (500 individuals/Network Server Hacking/IT Incident); Network Server;… [read post]
1 Feb 2011, 6:06 pm
Supreme Court has agreed to review a California health official's claims that the state should be allowed to reduce Medicaid payments to physicians, hospitals and pharmacies because of its current budget crisis. [read post]
22 Aug 2007, 6:10 am
However, she remains on our health insurance plan and due to lifestyle choices, has multiple health problems and physician visits at least twice a month. [read post]
21 Jan 2009, 5:30 am
Factors such as market share and leverage have played a big role in fee schedule negotiations and provider network development and maintenance. [read post]
10 Jan 2011, 8:08 am
A group health plan, which does not impose a copayment for colorectal cancer preventive services performed in an in-network ambulatory surgery center, may nevertheless require a $250 co-payment for this service when performed at an in-network outpatient hospital. [read post]
10 Sep 2015, 8:58 am
Healthcare providers are responding to the changing environment with the development of clinically integrated networks (CINs) and accountable care organizations (ACOs). [read post]
20 Apr 2017, 6:30 am
What does your treating physician say about your recovery and return to work? [read post]
20 Dec 2023, 9:52 am
According to the government, BioTelemetry and LifeWatch violated the FCA “when LifeWatch, through its marketing and enrollment process for remote cardiac monitoring services, knowingly submitted false claims to federal health care programs for a higher level of remote cardiac monitoring service than physicians had intended to order or which was medically necessary, thus resulting in a higher level of reimbursement to LifeWatch. [read post]
12 Apr 2021, 9:34 am
The patient may receive care from multiple physicians and not know which is participating with the patient’s insurance, because hospitals often employ out-of-network physicians, or those that have no relationship with a patient’s health insurance. [read post]
13 Jan 2012, 12:39 pm
A monthly breakfast law briefing and networking series specifically designed for health care and wellness company executives and human resources professionals. [read post]
7 Jul 2011, 11:16 am
Business writers have celebrated search engines, social networks, and tech startups as model corporations, bringing creative destruction and “disruptive innovation” in their wake. [read post]
31 Jul 2011, 4:15 pm
Leon Genesove, chief physician with the MoL. [read post]
