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15 Apr 2011, 5:09 am
The United States alleged that rather than billing the government for what the insured would have been obligated to pay had the claims been submitted solely to the third party insurer (typically the co-pay), CVS billed and was paid a higher amount by Medicaid. [read post]
3 May 2011, 6:20 am
See Texas Mexican Railway Co. v. [read post]
16 Aug 2018, 6:30 am
Self-insured employers, insurers, third party administrators, and government entities all use workers’ compensation claim quality audits to measure the performance of the claim adjusters, supervisors, and over-all claim staff. [read post]
10 Apr 2013, 8:44 am
A jury verdict this week found that State Farm was fraudulent in its claims conduct when adjusting National Flood Insurance claims.Anita Lee of the Sun Herald reported: A federal jury has found State Farm Fire and Casualty Co. committed fraud against the federal government and submitted a false record to support fraud after Hurricane Katrina. ...The decision potentially opens for examination thousands of post-Katrina flood claims State Farm adjusted and paid before… [read post]
Protecting Patient Privacy in Light of the NLRB’s Scrutiny of No-Recording and Social Media Policies
28 Dec 2016, 7:07 am
HIPAA governs the use and disclosure of protected health information (“PHI”) by health care providers. [read post]
7 Dec 2015, 9:37 am
A Fellow in the American College of Employee Benefit Counsel, past Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPTE Section Employee Benefits Group, Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, former Chair of the ABA Health Law Section Managed Care & Insurance Interest Group, an ABA Joint Committee on Employee Benefits Council Representative… [read post]
27 Apr 2020, 6:30 pm
Co. v. [read post]
14 Aug 2012, 10:40 am
Stamer is nationally and internationally known for her innovative leadership and work with businesses, governments, and communities on health and other insurance and employee benefits, patient education and empowerment, wellness and disease management, and other programs, policies, and processes. [read post]
30 Oct 2012, 10:05 am
It is a co-employment company that employs workers from a client company, thus becoming their employer on record for insurance and tax purposes. [read post]
29 Sep 2014, 8:19 pm
The government announced that the whistleblower, a former Caremark employee, will receive $1.02 million of the settlement (a 17% relator’s share). [read post]
21 Jun 2022, 3:13 pm
“The Court should not expand the scope of the Controlled Substance Act to regulate insurance coverage and employee reimbursement—topics on which it is silent. [read post]
21 May 2018, 6:17 am
O’Connor Lumber Co. and Whitman’s Case, rather than the definition of “employee” found in the independent contractor statute, Chapter 149, Section 148B. [read post]
29 May 2019, 9:26 am
More recent court decisions rely heavily on an assessment of facts about whether a foreign government sponsored the attack. [read post]
21 Feb 2011, 10:41 am
Typically, the way insurers curb these kinds of moral hazards costs is with co-pays and deductibles. [read post]
9 Feb 2012, 1:43 pm
Later this year, the Affordable Care Act will require most health insurance plans to provide women access to contraception for free or by paying a co-pay or deductible. [read post]
18 Dec 2019, 4:00 pm
This Client Advisory, originally distributed in December 2019, highlights important developments in the law governing employee benefit plans and executive compensation over the past year. [read post]
8 May 2015, 5:21 am
Co. [read post]
28 May 2013, 5:33 pm
The sales were financed by mortgage loans insured by the United States government. [read post]
25 Feb 2013, 11:49 am
Nationally recognized as a knowledgable and innovative health benefit thought leader by business and government leaders for her extensive work, publications and leadership on health benefit and insurance and other related employee benefits, insurance, human resources and health care matters, Ms. [read post]
6 Jul 2022, 12:06 pm
Solutions Law Press, Inc. provides human resources and employee benefit and other business risk management, legal compliance, management effectiveness and other coaching, tools and other resources, training and education on leadership, governance, human resources, employee benefits, data security and privacy, insurance, health care and other key compliance, risk management, internal controls and operational concerns. [read post]
