Douglas Nadjari

Douglas Nadjari

Ruskin Moscou Faltischek

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Medicare Audit and Appeals: A Study in Utter Dysfunction

Facing a backlog of over 350,000 appeals from payment demands issued by Recovery Audit Contractors (RAC's), the Center for Medicare and Medicaid Services ("CMS") has effectively given up and announced that its Office of...more

4/29/2014 - Administrative Appeals CMS HHS Recovery Audit Contractor

Health Law Alert - February 2014: Medicare Advantage Terminations: Thinning The Herd Of Qualified Participating Providers

"Thinning the herd" is the process of removing from the population, by any means necessary, those who cannot or should not survive. Emblem, United Healthcare and other major health insurers, have undertaken a corporate...more

2/20/2014 - CMS Healthcare Medicare Medicare Advantage Qualified Health Plans

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