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Recoupment of Payments by Insurance Companies – What are your Rights as a Healthcare Provider?

If you are a New York healthcare provider and you have received a letter from an insurance company alleging that you have been overpaid for certain services, you should understand your rights under the law.  The New York Insurance Law provides protections to healthcare providers and sets limitations on the scope of recoupment efforts by Read More

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Is Your Teleradiology Billing Compliant?

The teleradiology market is exploding. The global market was valued at $1.99 billion in 2016 and it is estimated to reach $8.2 billion by 2024, according to a report by Grand View Research, Inc. North America comprised 40% of the overall market in 2015, according to the report. Teleradiology enables rapid diagnoses and allows specialists Read More

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Chairman Of Key Congressional Health Committee Talks Reform

Rep. Peter J. Roskam (R-IL) is clearly adamant about taking some action that he stresses is imperative to safeguard the health care industry against crushing regulatory challenges of the highest order. Here’s the problem, Roskam asserts: Health professionals are flailing under an onslaught – relentless and growing – of burdensome and often nonsensical regulation. The Read More

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J&J Gets Some Upside In Depuy Hip Replacement Litigation

When a judge allows highly prejudicial and case-irrelevant evidence to be “wafted before the jury to trigger its punitive instincts,” it is likely that an appellate tribunal will take action. Which is exactly what a federal appeals panel did last week in New Orleans. Appellate judges cited a lower court’s error in allowing plaintiffs’ counsel Read More

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Is Your Company Being Targeted In Health Care Fraud Probes

A recent in-depth media profile calls it “a target-rich environment for investigation and prosecution.” That same report also stresses that federal criminal enforcement over it “stands poised to become increasingly muscular and robust.” The subject matter comprising “it” in the above piece is health care fraud. That realm is unquestionably a top-tier focus of national Read More

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5 Steps To Diagnose Medical Practice Cyberattack Risks

Patient safety is, or should be, a top priority in every health care facility in New York and the rest of the country. Safety can be at risk many different ways, as we pointed out in this blog earlier this year. One major threat that deserves particular attention is that posed by cyber attackers going Read More

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FDA’s Regulation Of Doctor-Assisting Software Criticized

Much criticism of the U.S. Food and Drug Administration from health care analysts and commentators spotlights alleged overregulation of the medical realm and its adverse effects on both business growth and innovation. That has once again proven to be true in the response of one industry group to recent FDA-authored draft guidance concerning software that Read More

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Is FDA Hiding Behind Guidance Docs To Circumvent Formal Rulemaking?

The process applicable to formal rulemaking engaged in by federal agencies is lengthy and laborious. A recent Bloomberg article discussing how ideas turn into final administrative rules describes it as “cumbersome.” No one likely knows that better than principal employees of the U.S. Food and Drug Administration. The FDA is an agency that is routinely Read More

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Regulatory Processes Ongoing Shifting In Health Care Industry

Given the bottom line linked with human lives and patient safety, it is hardly surprising that the health care realm is one of the most tightly regulated industries in the world. In the United States, of course, it is the U.S. Food and Drug Administration that plays an especially close and exacting rule in ensuring Read More

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Health Care Fraud Penalties Wide Ranging And Significant

Conscientious health care providers across New York — doctors, nurses, pharmacists, lab technicians and others — routinely think about care quality and how to best ensure that their patients are receiving it. While doing so, though, they are also focused on an additional matter these days that has nothing to do with patient outcomes and Read More

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