Search for: "Blue Cross and Blue Shield of Michigan" Results 1 - 20 of 98
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22 Jun 2020, 6:00 am by Brian Silber
The indictments filed in the Eastern District of Michigan allege that the nine defendants—who are all licensed pharmacists and/or owners of the pharmacies in Michigan and Ohio—billed Medicare, Medicaid, and Blue Cross Blue Shield (BCBS) for prescription drugs that were never dispensed. [read post]
26 Mar 2020, 7:43 am by Mary Cutler
Blue Cross Blue Shield (General Association)[10] BCBS announced that its network of 36 independent and locally operated companies will: waive prior authorizations for diagnostic tests and covered services for COVID-19, and cover those tests at no cost share to members. [read post]
5 Jan 2020, 2:52 pm by Kevin LaCroix
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
5 Jan 2020, 2:52 pm by Kevin LaCroix
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
19 Jul 2019, 1:22 pm by The Health Law Partners
Godiali submitted false and fraudulent claims for the placement of stents in dialysis patients and for the treatment of arterial blood clots; exploited medical billing software to improperly maximize payments from Medicare, Medicaid, and Blue Cross Blue Shield of Michigan; submitted false and fraudulent claims to Medicaid, Medicare, and Blue Cross for services not rendered; and “unbundled” claims by exploiting modifier-59 to… [read post]
12 Jul 2019, 11:56 am by Jeffrey A. Newman
Through this scheme Godiali was able to manipulate medical billing software to receive higher reimbursements from Medicare, Medicaid, and Blue Cross Blue Shield of Michigan than his services would normally qualify for. [read post]
21 May 2019, 9:19 am by Jeffrey A. Newman
The Indictment accused Fakih of wrongfully taking millions of United States dollars from Medicare, Medicaid and Blue Cross Blue Shield (BCBS), dating back to 2011. [read post]
5 May 2019, 9:05 pm by Allison K. Hoffman
As one example, the 2018 salary for the CEO of Blue Cross and Blue Shield of Michigan was recently reported to be $19 million, which is not an unusual sum among health care executives. [read post]
11 May 2017, 8:04 am
These include:■ Wellmark Blue Cross and Blue Shield, CareFirst Blue Cross Blue Shield, Blue Cross & Blue Shield of Massachusetts, Blue Cross & Blue Shield of Michigan, and Anthem BX (really!) [read post]
19 Dec 2016, 6:56 am by Liisa Speaker
If you’re curious about frivolous defenses and vexatious appeals, the case of Miller v Blue CrossBlue Shield Michigan, No: 326300, unpublished, is worth a read.The facts concern a denial of coverage by Blue Cross Blue Shield Michigan (BCBSM) for care provided to Francis Miller, who, after challenging the denial, petitioned the Washtenaw County Circuit Court to review the decision. [read post]
14 Jun 2016, 11:51 am by Eric Needs
Appeals Court Tosses $30M Michigan Blue Cross Blue Shield Price-Fixing Settlement appeared first on Legal Reader. [read post]
7 Jun 2016, 2:25 pm
"Court tosses Michigan Blue Cross Blue Shield price-fixing settlement": Reuters has this report on a ruling that the U.S. [read post]
7 Jun 2016, 1:46 pm by Dustin Dow
Blue Cross Blue Shield of Michigan, Nos. 15-1544/1551/1552, included class certification briefing and the named plaintiffs’ expert report that purported to detail the scope of antitrust damage suffered by three million to seven million putative class members. [read post]
7 Jun 2016, 1:46 pm by Dustin Dow
Blue Cross Blue Shield of Michigan, Nos. 15-1544/1551/1552, included class certification briefing and the named plaintiffs’ expert report that purported to detail the scope of antitrust damage suffered by three million to seven million putative class members. [read post]