Debt collection practices have come under the spotlight in recent years as complaints regarding the activities of less scrupulous debt collection agencies have poured into the Consumer Financial Protection Bureau (CFPB), a federal bureau created in the wake of the financial crisis. As we all know, the practices of some debt collection agencies have damaged […]
How the Proposed CFPB Debt Collection Rules Could Affect You Read More »
Health insurance payers monitor the billing, coding and documentation practices of health care providers in order to prevent fraud and abuse within the health payment system. A common process that insurers utilize is the post-payment audit or retroactive review of claims. Generally, the insurer will request medical records from the provider and then they will
Post-Payment Insurance Audits – Top 10 Areas of Risk Read More »
The Centers for Medicare and Medicaid Services (CMS), through its contractors, often perform medical record reviews and audits for new and existing providers and suppliers. These audits are conducted to detect potential fraud and abuse within the healthcare payment system. In the past, the records reviews started with a letter from CMS to the provider
Preparing for an Office Site Visit Read More »
This is an all too common scenario: someone owes you money, you sue them in court, the court awards you a money judgment, and the debtor still refuses to pay. There is a saying that you cannot get blood from a stone. This means that in some situations, collecting and enforcing a judgment will not
How To Collect A Pennyslvania Judgment Read More »
The Pennsylvania Insurance Fraud law makes it a crime when healthcare providers engage in prohibited acts, defined in the law. Violators are subject to civil penalties and criminal prosecution by the county district attorney or the Attorney General, if the conduct involves more than one county. If a person is convicted under the Insurance Fraud
Healthcare and the Pennsylvania Insurance Fraud Statute Read More »
Trying to collect a debt can be frustrating. When demand letters and phone calls fail to solicit a response from the debtor, creditors who want to get paid must obtain a money judgment against the debtor. A money judgment can be obtained after a lawsuit is filed and either a default judgment is entered or
How To Collect Judgments Across State Lines Read More »
By now, most, if not all healthcare providers have been audited by either a health insurance payer or the Centers for Medicare and Medicaid Services, or both. The healthcare audit process can vary depending on the payer; however, most audits follow a general process beginning with a request for medical records. The healthcare provider submits
How Much Does A Healthcare Audit Cost Your Office Read More »
Healthcare audits are common. Most healthcare providers know someone who has been audited or they themselves have been audited. Audits often reveal issues or concerns with regards to a provider’s billing, coding or documentation. If the payer determines that a problem exists, then the payer will usually request a refund of the overpayment which was
Using Correct CPT Codes To Avoid Healthcare Audits Read More »
Initiating a legal action to contest a last will and testament should be carefully considered. A person cannot simply contest a will because he or she does not like the terms. Judges do not tolerate will contest claims that have no merit and that are intended only to delay the proper administration of an estate.
How to Contest a Will in Pennsylvania Read More »
The Special Needs Trust is a useful and sometimes necessary estate planning option for individuals who have a child that has a mental, social or emotional disorder. These children will often never be financially independent and the concern for most parents is the inevitable situation when the parents die before their child. DEFINING SPECIAL NEEDS
How to Create a Pennsylvania Special Needs Trust and More Read More »
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