Jason Martin

How the Proposed CFPB Debt Collection Rules Could Affect You

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

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Post-Payment Insurance Audits – Top 10 Areas of Risk

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

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Preparing for an Office Site Visit

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

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Pennsylvania Protection from Abuse Law

The Pennsylvania domestic relations statute establishes a law designed to protect certain individuals from abuse. The individuals that are protected under the statute include family or household members, sexual or intimate partners, or persons who share biological parenthood with the person alleged to have committed the abuse. The term “abuse” under the statute includes the

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Healthcare and the Pennsylvania Insurance Fraud Statute

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

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