People who require mental health coverage are happy to know that long awaited changes to the laws effecting insurance coverage have finally arrived. Those changes can be found in the new Affordable Care Act, (the “ACA”) and changes made to the Mental Heath Parity and Addiction Equity Act of 2008 (the “Parity Act”). Read More […]
Mental Health Care Coverage Changes Mental Health Care Coverage Changes Read More »
It’s on the news, in the papers, even on billboards: NJ is serious about fighting insurance fraud. New Jersey’s “Insurance Fraud Prevention Act” (the “Act”) has been hailed nationally as “model” legislation that is a useful tool of prosecutors and the State to curb insurance abuses. Read More Here…”
The Government Is Serious About Insurance Fraud Read More »
Most physicians are generally aware of the “Stark” law, named after Congressman Pete Stark, which is the federal government’s attempt to prevent physician self-referrals of Medicare and Medicaid patients to health care services and facilities in which they have an ownership interest. Read More Here…
New Jersey’s “Codey Law” and the Prohibition Against Self-Referrals Read More »
It’s been said that a good settlement is one where all parties in litigation are a somewhat happy with the result, (though not completely) and everyone is completely happy that the litigation is over. Why is that? Lets begin with an understanding of what litigation is. A complaint is filed which seeks the assistance of
Why I Often Urge Settlement Read More »
Staff Credentialing and Privileging is a daunting undertaking. Credentialing is the process of examining a health care provider’s background, education and other criteria. Health care employers must complete some due diligence before they grant a health care worker privileges, particularly because the health care provider is being put in a position of responsibility which may
Staff Credentials and Privileging Read More »
An adverse peer review can have a long term adverse effect on physicians. Peer Review reports which result in an adverse action require a hospital to report that action to the National Practitioner Data Bank. Physicians who are not members in good standing with the medical staff of a hospital cannot practice medicine at the
Peer Review Litigation Read More »
Some significant people in my life have taught me that work itself is a virtue – not a means to and end, but something to be enjoyed, valued and respected. As you can see from the images on this site, I’m drawn to the water, to old wooden boats; and to craftspeople that carry on
There is Virtue in Work Read More »
