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14 Mar 2018, 9:44 am
On review, the appellate court began by stating that services not paid for by a health insurer cannot be reimbursed from PIP benefits if the insurer would have covered the medical services had the claimant sought treatment in accordance with his health insurer’s plan. [read post]
20 Jan 2014, 3:07 pm
She regularly designs and presents HIPAA and other risk management, compliance and other training for health plans, employers, health care providers, professional associations and others. [read post]
6 Jan 2011, 5:28 am
The current all-ACO issue of Health Affairs includes a piece by Jeff Goldsmith entitled: Accountable Care Organizations: The Case For Flexible Partnerships Between Health Plans And Providers. [read post]
13 Apr 2010, 11:16 am
The requirement that certain preventative care benefits be provided under group health plans. [read post]
23 Oct 2012, 3:16 am
Often, an insurance company, broker, agent or consultant administers these plans, including designing a network of preferred health care providers. [read post]
4 May 2010, 9:17 am
Consequently, for 2010, additional average premium rates may be provided by the Department of Health and Human Services for the small group insurance market in certain areas within the States. [read post]
22 Dec 2013, 7:00 am
In an important decision for religiously affiliated hospitals, a California federal district court has held that the pension plan for employees of Dignity Health, a 16-state non-profit Catholic healthcare provider, does not qualify for the "church plan" exemption in ERISA. [read post]
2 Dec 2009, 6:00 am
The health maintenance organization expert witness may testify on HMO prepaid health plans. [read post]
10 Aug 2019, 11:42 am
Under Section 503 of ERISA, “every employee benefit plan shall . . . provide adequate notice in writing to any participant or beneficiary whose claim for benefits … The post The Basics of an ERISA Life, Health and Disability Insurance Claim – Part Four: Denial of an ERISA Disability Claim or Appeal appeared first on McKennon Law Group PC. [read post]
2 Feb 2018, 8:57 am
When weighing the importance of HIPAA compliance and risk management for their health plans, health plans, their employer or other sponsors, fiduciaries, insurers, administrators and their business associates should resist the temptation to underestimate the exposure because providers, rather than health plans, have been the most common target of the majority of the announced OCR enforcement actions resulting in substantial civil… [read post]
24 Feb 2019, 5:22 am
A covered entity under HIPAA is defined as one of the following: • Health Care Providers that engage in HIPAA electronic standard transactions • Health Plans (e.g., Health Insurance Companies, HMOs, Company Health Plans) • Health Care Clearinghouses What is a Business Associate? [read post]
11 Mar 2020, 7:46 am
Morrison’s plan is meant to shield people from exposure to infection and provide them with access to care and treatment. [read post]
23 Jul 2010, 9:48 pm
Affordable Care Act Requires Prompt Action By Group Health Plans, Sponsors, Fiduciaries & Administrators The Affordable Care Act and other impending federal health plan changes will require employment-based group health plans, their employer and other plan sponsors, plan fiduciaries, plan administrators and other service providers and insurers to make quick decisions and to act quickly to meet… [read post]
4 May 2017, 8:00 am
EHRs simply cannot provide those comforts for you, which is why we gave you a DocuBank membership with your estate plan. [read post]
6 Mar 2024, 1:00 am
" He also pleaded guilty to a misdemeanor charge for threatening a reproductive health services clinic.Apparently, back in July of 2022, MW called Planned Parenthood of Greater Ohio and threatened to burn down the building because of the reproductive services the organization provided. [read post]
23 Jul 2013, 2:06 pm
The health law required Medicare to gradually factor in quality into payments for hospitals, nursing homes, physicians and most medical providers. [read post]
24 Mar 2015, 6:30 am
If you have health insurance, and you will qualify for Medicare as a senior citizen, the notion of Medicaid planning can seem irrelevant to you. [read post]
31 Aug 2010, 9:00 am
Health and safety - On August 26, 2010, Maithripala Sirisena, Sri Lanka's Minister of Health, announced a plan to amend that country's laws so that the free medical facilities that are provided to all citizens will no longer be available... [read post]
26 Jun 2015, 11:14 am
According to a recent article in the Atlanta Journal-Constitution, “Roughly 541,000 Georgians enrolled in Affordable Care Act health plans for 2015. [read post]
3 Jun 2010, 1:26 pm
The Martin Law Firm offers health care providers expert guidance and assistance in all areas of health care law. [read post]
