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10 Dec 2014, 4:36 am by David DePaolo
California has a single review organization, Maximus, which provides review services for multiple governmental health and disability systems.Regardless, both states keep the actual reviewing physician anonymous, and in both states there are complaints about anonymity and attempts to lift the veil of secrecy.Texas State Representative Bill Zedler (R-Arlington) has tried in the past to get legislation through the state House removing reviewer anonymity, and is trying… [read post]
7 Dec 2014, 2:21 pm
The fiduciary may then order the service provider to copy, deliver or even delete the account in question. [read post]
5 Dec 2014, 8:20 am by Jon Gelman
Under current California law the UR physician does not have to be licensed to practice medicine in California -- any state license suffices. [read post]
4 Dec 2014, 4:23 pm by Ralph L. Jacobson
But even ten or fifteen years ago, accessing civil court records in California and elsewhere was an arduous task. [read post]
1 Dec 2014, 8:00 am
Man Faces Health Care Fraud Charges in Both California and Michigan A report in the journal Modern Healthcare details expanded claims filed against a doctor in Michigan who has already been stripped of his license here in California. [read post]
23 Nov 2014, 10:49 pm by Ben Vernia
Attorney for the Central District of California announced a settlement in a qui tam case against a pain management doctor for submitting false claims. [read post]
23 Nov 2014, 5:49 pm by Ben Vernia
Attorney for the Central District of California announced a settlement in a qui tam case against a pain management doctor for submitting false claims. [read post]
17 Nov 2014, 5:26 pm
In 1913, California was one of the first States to prohibit the sale and possession of marijuana, and at the end of the century, California became the first State to authorize limited use of the drug for medicinal purposes. [read post]
17 Nov 2014, 6:50 am
  Gilead, a California citizen (our beloved home, but a state routinely listed as a “judicial hellhole”), removed the case to federal court, asserting that the local physicians and medical facility were fraudulently joined because healthcare liability, which plaintiff purported to disclaim in his complaint, was only basis for liability against the non-diverse defendants. [read post]
7 Nov 2014, 5:52 am
  In prescription medical product cases, physician testimony has often destroyed the presumption. [read post]
1 Nov 2014, 5:43 pm by Green and Associates
We handled one case outside of California where law enforcement sent in a  confidential informant to gather information on the physician’s weight loss practice. [read post]
28 Oct 2014, 4:40 am by David DePaolo
Perhaps one of the reasons that the California workers' compensation system spends so much on cost containment services is because there are no incentives not to spend so much.In other words, the folks that benefit the most from cost containment services are the folks that are charged with overseeing such utilization - the proverbial fox in the henhouse.I heard from one claims insider that some companies, including the one she worked at, use utilization review as a… [read post]
13 Oct 2014, 11:24 am
Isolation is a form of Elder Abuse in California, per California Penal Code §15610.43. [read post]
12 Oct 2014, 7:30 pm
Skala provides consultation and expert witness services for attorneys regarding Personal Injury; Industrial Medical-Legal Cases; Standard of Care involving General Chiropractic, Manipulation Under Anesthesia (MUA), Non-Surgical Spinal Decompression, and Extracorporeal Shockwave (EWST); Chiropractic Licensure Compliance California, and Workers Compensation. [read post]
7 Oct 2014, 12:44 pm by J. Bradley Smith, Esq.
Arnold & Smith, PLLC is a Charlotte based criminal defense, traffic violation defense and civil litigation law firm servicing Charlotte and the surrounding area. [read post]