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12 Apr 2018, 8:48 am
The Percentage of Allowed Services Submitted without a Visit to the Referring Provider within 90 Days of the DMEPOS Service Date. [read post]
10 Jan 2014, 4:16 am
The government alleged that, between 1999 and 2004, HealthEssentials billed for services that were inflated or not medically necessary and that Barr and Pfaadt pressured HealthEssentials employees to inflate the company’s billings, despite having been advised by attorneys and others that doing so would be improper. [read post]
2 Jul 2012, 9:25 pm
The United States also alleged that NextCare inflated billings for urgent care medical services in the years under review, a practice known as upcoding. [read post]
19 Dec 2007, 1:12 am
Documents listed are accessible through subscription to the GalleryWatch.com service. [read post]
3 May 2012, 8:01 am
In fact, however, the services were either medically unnecessary or were never provided. [read post]
25 Jun 2013, 1:04 pm
Carmody, CPA, Director of Reimbursement Services for the Billings Clinic of Billing, Montana, discussed the time and expense her organization has incurred appealing inappropriate payment denials. [read post]
10 Aug 2010, 9:56 am
The money which is part of the 2011 spending bill for Health and Human Services will increase by more than $250 million. [read post]
2 Aug 2014, 6:05 am
Sinai Hospital and Medical Center of Chicago, Inc., 807 N.E.2d 1026, 1033 (Ill. [read post]
20 Jun 2014, 5:30 am
©2014 Amaxx Risk Solutions, Inc. [read post]
12 Mar 2008, 2:19 am
Documents listed are accessible through subscription to the GalleryWatch.com service. [read post]
12 Jan 2024, 5:48 am
Fourth, from 2019 to 2020, RDx marketer Seaworthy Recovery Services Inc. allegedly paid thousands of dollars in kickbacks to one or more principals of certain substance abuse recovery centers to induce their referrals to RDx for laboratory testing. [read post]
18 Dec 2015, 7:07 am
Specifically, the 1st DCA held that the JCC erred when he ordered the Employer/Carrier to pay the providers, in addition to any and all third party payors for all psychiatric bills because the JCC had no jurisdiction to award payment to the medical providers or to award reimbursement to any third party payor for services. [read post]
24 May 2024, 7:49 am
Kelly, and Gun Owners of America, Inc. v. [read post]
26 Oct 2011, 6:04 pm
(WCxKit) 2- Be aggressive with medical bill cost containment (per jurisdiction) Bigger TPAs/insurance companies have internal cost containment departments, otherwise known as “medical bill review” or “medical fee reduction. [read post]
15 Nov 2019, 7:42 am
The Government’s Complaint-in-Intervention (the “Complaint”) alleges that Defendants violated the False Claims Act by fraudulently billing Medicare for healthcare services that did not comply with Medicare law. [read post]
4 Aug 2023, 5:55 pm
About Solutions Law Press, Inc. [read post]
24 May 2007, 1:26 am
Documents listed are accessible through subscription to the GalleryWatch.com service. [read post]
30 Dec 2015, 5:58 am
Guardian is a for-profit hospice which provides hospice services in Atlanta. [read post]
17 Jun 2009, 2:00 am
Bruce Braley on June 16, 200906/16/2009
Legislative Text of the Legislative Branch Appropriations Act for Fiscal 2010, H.G.W. 109 (PDF 408 KB)Text of the Bill as Ordered Reported by the House Appropriations Committee on June 12, 200906/16/2009
Legislative Text of the Medical Efficiency and Delivery Improvement of Care (MEDIC) Act (S. 1262)Text of the Bill as Introduced by Sen. [read post]
11 May 2023, 7:52 am
This can include bills and medical records, which must be provided at no charge. [read post]
