When Should Physicians Sue Insurers for Underpayment?
Although the decision to file a lawsuit against an insurer is never easy, there are certain situations in which taking an insurer to court over underpayment does make sense. For ...
How the HITECH Act Affects Health Care Facilities, Medical Professionals
In some states, health care providers must notify patients of a data breach compromised their personally identifiable information, including social security numbers, banking information, credit card numbers and more. Now, ...
Arrests Lead to $6.5 Million Settlement in Brooklyn Medicaid Fraud Case
Four employees of Brooklyn’s Northern Manor Adult Day Health Care Program (Northern Manor ADHC) were arrested after a long investigation that centered on their alleged fraudulent activities. Soon afterward, the ...
War on Health Care Fraud Continues, but is Proving Difficult
Over the past few years, the Obama administration has put a great deal of focus on combating all types of health care fraud, especially in relation to the Affordable Care ...
Challenges Remain on the Health Care Fraud Front for U.S. Government
Health care fraud remains a major target as the Obama administration aims to bring fraudsters to justice, especially since the Affordable Care Act went into effect this year. It’s easy ...
Rules for Equal Health Care Coverage by Employers Still Absent in Health Care Law
Much has been made of the kind of impact that the new health care laws have had on doctors and medical care providers. However, one potential provision of those laws ...
Medicaid Expansion in New Jersey
A key feature of the Affordable Care Act (ACA), the loosening of Medicaid eligibility requirements, is aimed at making coverage available to the working poor whose wages are near the ...
Capping Medicare and Medicaid Patients
In an effort to ease some of the medical profession’s trepidation concerning the Affordable Care Act (ACA), many proponents have pointed out that it is likely to bring a new ...
Health Care Reimbursement Obstacles
The insurance system — whether involving private policies or public programs like Medicare and Medicaid — is a double-edged sword for physicians and medical professionals. While it provides a means ...
Considerations for Doctors Renting Office Space
A number of small medical practices facing increased financial pressure and competition from urgent care clinics and other large providers have taken unconventional steps to increase revenues and get the ...