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5 Aug 2013, 11:31 am by Cynthia Marcotte Stamer
Businesses and workers concerned that the definition of “full-time” employment as 30 hours per week in the “pay-or-play” penalties of the Patient Protection and Affordable Care Act (commonly referred to by the public  as “Obamacare”) is hurting American workers may want to share their input on recently introduced legislation that would raise the number of hours an employee must work to qualify as “full-time”  for purposes of the pay-or-pay… [read post]
19 Jul 2013, 11:02 am by Ben Vernia
The government alleges that A Plus offered referring physicians’ spouses sham marketing positions with the company to induce the physicians to refer Medicare patients for home health care services [read post]
5 Jul 2013, 5:00 am by Bexis
Superior Court, 920 P.2d 1347, 1352-53 (Cal. 1996); Washington State Physicians Insurance Exchange & Ass’n v. [read post]
28 Jun 2013, 11:04 am by Lisa Whittaker
FBL Financial Services, Inc. in an ADEA context, have held that unless Congress has stated otherwise, a plaintiff is required prove the defendants actions were the “but-for” cause for the adverse action. [read post]
27 Jun 2013, 6:30 am by Senior Editor
  Review use of all nurse case management to make sure the service is needed and is brought in timely. [read post]
16 Jun 2013, 5:35 am by Administrator
APM Construction Services Inc. et al. v. [read post]
14 Jun 2013, 12:53 pm by Cynthia Marcotte Stamer
Department of Health and Human Services (HHS) Office of Civil Rights today (June 14, 2013). [read post]
6 Jun 2013, 12:15 am
The doctrine of inherent anticipation (particularly after Schering Co. v Geneva Pharmaceuticals Inc. et Al., commented here - see also, in the UK, Merrell Dow v H N Norton & Co), may lead to similar distortions. [read post]
28 May 2013, 12:24 am by Ben Vernia
Department of Health and Human Services’ Office of Inspector General, ISTA, and B+L will enter into a Divestiture Agreement under which ISTA agrees to be excluded for 15 years, effective six months after the date of the settlement. [read post]
21 May 2013, 7:53 am by Rich Vetstein
Although Medicare does not generally cover long-term nursing care, it often covers specific services that a CCRC resident might receive, such as physician services and hospitalization. [read post]
6 May 2013, 6:00 am by Rebecca Shafer, J.D.
  Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. [read post]
25 Apr 2013, 5:00 am by Bexis
  All our brainstorming about how to improve client service. [read post]
10 Apr 2013, 6:22 am by Joe Consumer
Demand for medical services from insured patients is a strong lure for physicians. [read post]
10 Apr 2013, 6:00 am by Michael B. Stack
 Adjusters can also utilize their Utilization Review department, a nurse case manager, or a Record review from another physician to see what type of test should be done. [read post]