In a landmark decision for out-of-network healthcare providers, the Third Circuit recently held in a published opinion that an out-of-network provider’s direct claims against Aetna for breach of contract and ...
Previously, we posted an article describing the various stimulus options for healthcare providers and small businesses experiencing financial hardship as the result of COVID-19. In particular, the article articulated how ...
Firm Member Vincent N. Buttaci recently appeared on Essential Adaptations, a video podcast hosted by Dr. Jeff Frederick and Dr. John Guiliana of Podiatry Risk Group. Mr. Buttaci discussed the ...
As the landscape of providing care during the COVID-19 pandemic continues to evolve, our provider clients continue to request advice on the evolving local and federal legislation on telehealth so ...
It is no secret that due to COVID-19, most people—including our clients’ patients—are doing their best to stay home to do their part in flattening the curve. And even though ...
As the world navigates through these unprecedented times in trying to slow the spread of the COVID-19 virus, our provider clients are routinely asking, “What now?” On March 16, 2020, ...
On June 28, 2018, a federal judge in Texas held that the Centers for Medicare & Medicaid Services (“CMS”) was not permitted to recoup 7.6 million dollars in alleged Medicare ...
On May 16, 2018, the Third Circuit in American Orthopedic & Sports Medicine v. Independence Blue Cross Blue Shield held anti-assignment clauses in ERISA governed health insurance plans are generally ...
On September 11, 2015, in North Jersey Brain & Spine Center v. Aetna, Inc., the Third Circuit held in a precedential opinion that a patient’s assignment of benefits does not ...
The United States District for the District of New Jersey has certified as a class action a lawsuit brought on behalf of thousands of chiropractic physicians who were denied reimbursement ...
