Search for: "Medicare Appeals Council"
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14 Mar 2019, 4:00 am
Council 82, AFSCME, AFL-CIO v New York Pub. [read post]
14 Mar 2019, 4:00 am
Council 82, AFSCME, AFL-CIO v New York Pub. [read post]
11 Mar 2019, 7:30 am
Moreover, other statutes, most notably Medicare and Medicaid, incorporate Section 405(g) into their provisions for judicia [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 (“OCR”) February 7, 2019… [read post]
8 Jan 2019, 12:38 pm
Interoperability will be a key priority for the Office of the National Coordinator for Health Information Technology (“ONC”) going forward. [read post]
27 Dec 2018, 8:56 am
Employers that pay or considering paying hourly workers different hourly rates for different categories of work within the same work week should evaluate these compensation practices in light of a new December 21, 2018 Department of Labor Wage and Hour Division (WHD) Fair Labor Standards Act (FLSA) opinion letter that evaluated the FLSA minimum wage and overtime compliance of one such arrangement. [read post]
15 Dec 2018, 7:41 am
Assuming that an appeal proceeds, a Court of Appeals would hear the appeal before an almost certain appeal by the losing side in that appeal to the United States Supreme Court, where President Trump’s new appointee would hear the action. [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 payers about… [read post]
18 Nov 2018, 8:30 pm
Self-insured employer and union sponsored health plans, health insurers and other health care payers, health care providers, managed care and practice management service providers and others structuring or working with preferred provider or other managed health care contracts should weigh the potential implications on their health plan provider agreements and managed care practices of the antitrust lawsuit jointly brought by the U.S. [read post]
15 Nov 2018, 10:00 pm
Court of Appeals for the D.C. [read post]
6 Nov 2018, 10:56 am
While acknowledging that various Courts of Appeals previously have reached differing conclusions concerning the appropriate interpretation, the Supreme Court ruled that the phase “also means” added a new category to the definition of “employer” for purposes of the ADEA. [read post]
3 Nov 2018, 6:28 pm
The judge’s determinations were affirmed on appeal. [read post]
30 Oct 2018, 7:02 am
Court of Appeals for the 8th Circuit affirmed. [read post]
10 Sep 2018, 7:49 pm
Stamer 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 a [read post]
21 Aug 2018, 7:45 am
What terms should I know when filing or appealing a disability claim with the Social Security Administration? [read post]
21 Aug 2018, 7:45 am
What terms should I know when filing or appealing a disability claim with the Social Security Administration? [read post]
17 Jul 2018, 9:30 pm
Thus the appeal in Janus v. [read post]
13 Jul 2018, 10:37 pm
A flurry of activity in the House Ways & Means Committee and other Congressional committees over the past few weeks signals the advisability of keeping a close eye on health care and health benefit reform proposals this Summer in anticipation of both the Fall health benefit enrollment and renewal season and the mid-term November Congressional elections. [read post]
9 Jul 2018, 2:31 pm
In Council Tree Investors Inc. v. [read post]
15 Jun 2018, 9:38 am
Settlement Conference Facilitation (SCF) is an alternative dispute resolution process which provides appellants and the Center for Medicare and Medicaid Services (CMS) an opportunity to discuss a mutually agreeable resolution for claims appealed to the Administrative Law Judge (ALJ) or Medicare Appeals Council (Council) levels of appeal. [read post]
