Third party discovery may be helpful to providers in arbitrations. For example, if a provider is in a dispute with a health plan, if there are questions as to whether the health plan or the medical group has financial...more
Effective April 1, 2020 through September 30, 2020, a new diagnosis code U07.1 was added to the ICD-10-CM code set for the novel coronavirus COVID-19: U07.1. The ICD-10-CM Official Coding and Reporting Guidelines– Chapter 1...more
Health plan contracts typically include binding arbitration clauses, and the health plan typically specifies which arbitration association it prefers to use. If the arbitration association makes millions of dollars resolving...more
Hospitals that attempt to discharge a patient to a post-acute level of care but are not able to because they cannot find an appropriate accepting facility must continue providing care if the patient cannot be safely...more
12/16/2019
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