What Birth Injury Lawyers Do

7月 27, 2010 by · Leave a Comment
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The birth of a baby to a couple is considered as God’s gift and is the happiest moment of their life. Regrettably or by “God’s will” we say sometimes, but bad luck doesn’t call before it comes.

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Informed Consent and Treatment Side-Effects

7月 27, 2010 by · Leave a Comment
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When seeking treatment with a healthcare provider, one can safely assume that a doctor will explain what ailment is affecting the patient, what treatment options are available, and what those treatments entail. If a doctor fails to properly inform a patient, and then pushes him or her into a particular treatment option that presents certain hazards to his or her health, this could constitute a lack of informed consent. Medical malpractice has become a serious problem in the healthcare industry, with some staff failing to uphold basic standards of operation, making it important for patients to know as much as they can to keep them safe.

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Individual NPI Number in Box 24J For Medicare Claims

7月 27, 2010 by · Leave a Comment
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When billing insurance claims to Medicare, it can get a little tricky. Medicare has many rules which are not required by commercial insurance companies. Since NPI numbers were required on all claims in 2008 there has been some confusion.

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Dealing With Overpayments When Billing Medical Claims

7月 27, 2010 by · Leave a Comment
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Sometimes a provider is reimbursed too much money for the services provided which results in an overpayment. Sometimes the overpayment is made by the insurance carrier and sometimes it is made by the patient. In either case, it is important that the overpayment be returned to the appropriate person or carrier.

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Unnecessary Hysterectomies and Complications

7月 27, 2010 by · Leave a Comment
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Hysterectomies are by far the most common form of gynecological surgery, with an estimated one third of women undergoing this surgery by the age of 60. But the surgery is now thought to be widely over performed. Experts suggest that some two thirds of hysterectomies are unnecessary.

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Medicare’s New Timely Filing Rules

7月 27, 2010 by · Leave a Comment
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Medicare has always had the most relaxed rules regarding timely filing. Under the old rules Medicare claims could be submitted for the last quarter of the year prior to the previous year – which means that claims for dates of service 10/1/08 or after can be submitted up to December 31st of 2010. There was a 10% penalty for any claims older than one year, but they would still be paid on. That has come to an end.

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CMS – Medicare PECOS Ruling May Affect Payments by Medicare

7月 27, 2010 by · Leave a Comment
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Medicare’s new deadline of July 6, 2010 says that all ordering and referring providers must be enrolled in the PECOS system or claims may be rejected and payments denied. Unfortunately this can affect not only the doctor who is referring but the specialist he referred the patient to. Many providers are not even aware of what the PECOS system is.

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