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22 Dec 2018, 4:00 am
Auditors found that Medicaid made: questionable payments totaling $5.3 million to providers who claimed excessive Part B coinsurance amounts; overpayments totaling $2.3 million to providers for the Part B coinsurance on services Medicaid did not cover; and overpayments totaling $1.1 million to providers for Part B deductibles that exceeded yearly limits.Department of Health: Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46)During the audit period, 2013 through… [read post]
21 Dec 2018, 3:35 pm
Health insurance benefits. [read post]
21 Dec 2018, 12:00 am
Instead, overmedicating can lead to serious health problems. [read post]
20 Dec 2018, 9:30 pm
” To aid the states, CMS announced that it will publish “waiver concepts” that will “spur conversations…and illustrate how states might take advantage of this new opportunity to move beyond the ACA. [read post]
19 Dec 2018, 2:57 pm
Your own health insurance company will pay for a lot of the medical bills, but they will want a cut out of any personal injury settlement you get. [read post]
19 Dec 2018, 6:49 am
I can get more information from the HealthMarkets team regarding health information technology changes. [read post]
19 Dec 2018, 6:24 am
There are laws about how hospitals can bill people, for these laws to be used to your advantage by your attorney at the end of the case, it is very important that you do a good job documenting that you at least advised the hospital that you had health insurance. [read post]
19 Dec 2018, 4:42 am
Medicaid is another government health insurance program, and it will pay for nursing home care. [read post]
19 Dec 2018, 3:00 am
Key Findings State tax changes are not made in a vacuum. [read post]
18 Dec 2018, 3:57 am
Past Chair of the ABA Managed Care & Insurance Interest Group and, a Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, heavily involved in health benefit, health care, health, financial and other information technology, data and related process and systems development, policy and operations throughout her career, and scribe of the ABA JCEB annual Office of Civil Rights agency meeting, Ms. [read post]
17 Dec 2018, 11:58 am
Even those who had Medicaid before the A.C.A would lose the advantages of the simplifications brought by the ACA (those simplifications have increased Medicaid enrollments even in states that have not expanded coverage). [read post]
17 Dec 2018, 3:51 am
At Bloomberg, Greg Stohr reports that “[t]he Trump administration is aggressively trying to take advantage of the U.S. [read post]
15 Dec 2018, 8:20 am
You can continue to focus on your health. [read post]
15 Dec 2018, 7:41 am
Stamer is nationally recognized as a thoughtleader in health benefits and health care matters domestically and internationally. [read post]
14 Dec 2018, 9:41 am
Intent to Commit Specific Crimes Listed in TCCP Art. 42A.054 (a) Pursuant to Texas Penal Code Section 15.031(a) it is a criminal act if the accused is shown to have acted with intent to commit one of the following offenses (listed by Texas Code of Criminal Procedure Article 42A.054(a)), and the person (1) requests, (2) commands, or (3) attempts to induce a minor to engage in specific conduct that, under the circumstances surrounding the actor’s conduct as the actor believes them to be,… [read post]
13 Dec 2018, 4:13 pm
Background Teladoc Health, Inc. provides telehealth services worldwide. [read post]
13 Dec 2018, 12:15 pm
Stamer also has extensive health care reimbursement and insurance experience advising and defending plan sponsors, administrators, insurance and managed care organizations, health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and employer and association group and other health benefit programs and coverages including but not limited to advising public and private… [read post]
13 Dec 2018, 9:56 am
She regularly helps employer and other health benefit plan sponsors and vendors, health industry, insurers, health IT, life sciences and other health and insurance industry clients design, document and enforce plans, practices, policies, systems and solutions; manage regulatory, contractual and other legal and operational compliance; vendors and suppliers; deal with Medicare, Medicaid, CHIP, Medicare/Medicaid Advantage, ERISA, state insurance law and… [read post]
12 Dec 2018, 11:15 pm
FTAs have been urged not to stomp on human rights and that should an investment agreement include an investment chapter, that arbitrators must be so drafted that interference in the domestic regulation of budgetary, fiscal, health and environmental and other public policies are not allowed. [read post]
12 Dec 2018, 6:01 am
Medical expenses include such items as prescriptions, doctor’s visits, and health insurance premiums, as well as other expenses like that dental procedure or operation you’ve been putting off. [read post]