Integrated Medical Bill Review Risk Management

Integrated Medical Bill Review and Subrogation Integrated medical bill review combines silos into one solution.  This article provides a summary of various strategies to determine the value of medical bills. Plaintiffs in…

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Medicare Local Coverage Determinations Create Inconsistency in Medicare Coverage
Medicare administrative contractors (MACs) and the Centers for Medicare & Medicaid Services (CMS) sometimes develop policies to limit Medicare coverage of specific items and services. MACs issue local coverage determinations (LCDs) that limit coverage for a particular item or service in their jurisdictions only. This can lead to State-by-State variation in Medicare coverage for similar items and services.

Medicare Local Coverage Determinations Create Inconsistency in Medicare Coverage

Medicare Local Coverage Determinations (LCDs) are inconsistent and cause uneven access to care for Medicare beneficiaries based on arbitrarily geographic boundaries and jurisdictions, rather than on medical necessity. That is…

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U.S. District Judge Lew Affirms Michael F Arrigo as Expert Witness in Medical Coding, Medical Billing, Medicare Fraud, Fraud Damages, Electronic Health Records

Expert witness Michael Arrigo was affirmed as an expert by U.S. District Judge Lew.  To view the ruling click here: United States and State of California v Pacific Health Corporation. Excerpt:…

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Expert witness ambulatory surgery center billing Morning Edition National Public Radio, Kaiser Health News Quote Expert Michael Arrigo RE High Cost Medical Care
Image credit: Kaiser Health News. Janet Winston stands in her rose garden in Eureka, Calif. Testing revealed she is allergic to numerous substances, including linalool. Winston still can handle roses, which contain linalool, but she can't wear perfumes and cosmetic products that contain the compound.

Expert witness ambulatory surgery center billing Morning Edition National Public Radio, Kaiser Health News Quote Expert Michael Arrigo RE High Cost Medical Care

Expert witness ambulatory surgery center billing Expert witness ambulatory surgery center billing quoted in allergy test overbilling investigation.  Michael Arrigo interviewed by journalists at National Public Radio (NPR) for broadcast…

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Medical Billing Expert Witness Howell and Collateral Source Rule

Medical billing expert witness Howell specials work in California in matters involving personal injury, medical malpractice, and payor provider disputes.  Experts should have  an understanding of the collateral source rule.…

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Cybersecurity Expert Witness & WannaCry in Healthcare
A WannaCry ransomware message appeared on medical devices and Health IT systems

Cybersecurity Expert Witness & WannaCry in Healthcare

Cybersecurity Expert WitnessWhen WannaCry ransomeware harms the patients of health care providers or members of a health plan, litigation raises questions.  Were all measures taken to protect the plaintiff's information? Either…

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Expert Witness for Future Medical Costs in Life Care Plans

In our experience, one strategy is to work within the Superior Court or State Court level and then appeal to a higher court perhaps at the Federal level. Some courts have elected not to hear testimony regarding future care costs under the Affordable Care Act, only to find that it is the law of the land and now has an impact. There are also unintended consequences in product liability cases. Third party liability and subrogation may also be affected.

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Expert Witness Medicaid Expansion Affordable Care Act

As an expert witness I am regularly requested to provide opinions regarding the value of medical care under the Affordable Care Act. A misunderstood and often overlooked centerpiece of the Patient Protection and Affordable Care Act—often referred to as “Obamacare” or "ACA"—is the expansion of Medicaid eligibility to people with annual incomes below 138 percent of the federal poverty level.

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Affordable Care Act Expert Witness Work Requires Attorney Education

In my work as an expert witness regarding the Patient Protection and Affordable Care Act (also known as the "ACA" or "Obamacare"), I find that more medical malpractice and personal industry cases as well as cases involving requirements for insurance coverage for self-insured employer's employees encompass ACA in their scope. The ACA may change the economics of healthcare as they apply to a legal matter involving damages, value of care, or insurance coverage and benefits.

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Healthcare Expert witness, HIPAA, HITECH Act, Medical Coding and Affordable Care Act Considerations

healthcare expert witness work in medical coding and billing, usual customary and reasonable cost of care, HIPAA Privacy, HITECH Act, and Affordable Care act require special considerations

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Peyton Manning Privacy May Have been Violated by Guyer Institute According HIPAA Privacy and Security Rules and HITECH

Peyton Manning's privacy was violated by Guyer Institute IF the press is accurately presenting the facts about the patient and the HIPAA covered entity.

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