We learn what the different types of #captives are from Dr. Claire C. Muselman and we consider what the #Kentucky Supreme Court had to say about psychological benefits and medical evidence
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Check out our newest edition of Whistleblower Watch - all your FCA news and developments in one place!
Whistleblower Watch by Cozen O'Connor offers a quarterly summary of significant False Claims Act (FCA) enforcement actions, settlements, and legal trends. In the winter 2024 edition, Art Fritzinger and Calli Padilla discuss all the latest, including CIGNA's $172 million settlement. https://lnkd.in/eHwvTRJz #falseclaimsact #legalnews #whistleblower #whitecollarcrime
Whistleblower Watch Winter 2024
cozen.com
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🚨 New Blog Alert! 🚨 Discover how proper documentation can make or break your personal injury case, ensuring you get the justice and compensation you deserve! Our latest blog post dives into: 📋 The importance of detailed injury documentation ⚖️ How medical records can strengthen your case Don't miss out on this essential read to ensure you're fully prepared and protected! 🔗 https://lnkd.in/eWfZVGBu #PersonalInjury #KnowYourRights #MedicalRecords #Injuries Adam Malamut, Keith J. Gentes, Scott A. Sheldon, Patrick Reilly
Documenting Your Injuries: The Importance of Medical Records in Claims - Malamut & Associates
malamutlaw.com
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Dealing with the aftermath of a personal injury can feel overwhelming. From medical bills to emotional distress, the journey to fair compensation can be daunting. But fear not! NovaLegalGroup, P.C. is here to support you every step of the way. Contact us today for a consultation and take the first step towards a fair resolution for your Reston, VA personal injury case. Don't face this journey alone—let NovaLegalGroup, P.C. empower you to move forward with confidence. #RestonVA #PersonalInjury #LegalAssistance
Tips for Negotiating a Fair Settlement in Your Reston, VA Personal Injury Case
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📝 The Importance of Documenting Your Injuries 📝 If you’ve been injured in an accident, keeping thorough records of your injuries and medical treatment is vital for a successful personal injury claim. Here’s why: 🔹 Builds Your Case: Detailed documentation provides evidence of your injuries and their impact on your life, which is essential for establishing liability and compensation. 🔹 Tracks Medical Treatment: Keep records of all medical visits, treatments, and prescriptions. This not only helps in your recovery but also supports your claim. 🔹 Strengthens Your Claim: Insurance companies will often question the validity of claims. Comprehensive documentation can counter any skepticism and reinforce your position. 🔹 Reflects Long-Term Effects: Injuries may have long-term consequences. Documenting your treatment over time can help establish ongoing pain or disability, ensuring you receive fair compensation. At The Law Office of John M. Howe, we understand how important proper documentation is. If you need assistance with your personal injury claim, we’re here to help! 📞 561-296-7772 💻www.johnhowelaw.com #personalinjury #wrongfuldeath #criminaldefense #commerciallitigation #immigrationlaw #westpalmbeach #florida #attorney #lawofficeofjohnmhowe
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Everything you need to know about personal injuries and claims: Personal injuries do not come as a surprise to most law firms. They handle these cases of injury claims in their routine. Regardless of whether you have suffered from a minor to major injury, you deserve justice. Moreover, you must teach a lesson to the responsible party for the discomfort as well as trauma you […] #Health #HealthNews
Everything you need to know about personal injuries and claims
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Owner Training Doctor LLC | Pediatric Nephrologist, Driscoll Children's Hospital | Medical Expert Witness | Medical Education Champion &Transformational Leader | Children with Special Healthcare Needs Advocate
Don't underestimate the power of medical expert witnesses, especially in high-stakes cases. Since they can strengthen a case by clarifying medical conditions, demonstrating economic loss, and reconstructing the accident, their presence should be discussed more. This could help victims get the help they need and be quite life-changing. Under the guidance of an experienced personal injury lawyer, they can make even more of an impact. Many people aren't aware of these roles and their weight in outcomes, so I think there should be more education around these topics. It's always good to be well-informed. #Healthcare #MedicalWitness #ExpertWitness
Why Expert Witnesses Are Crucial in High-Stakes Personal Injury Lawsuits
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there’s zero risk of insurance companies paying an out-of-network provider. so factually, some systems are accurately and immediately updated. it’s advantageous not to hit refresh outside the billing system every year as a guerilla advertising tactic; network bloat. that’s bait and switch in other industries. it’s also in violation of the affordable care act. the affordable care act requires all group health plans and health insurance companies to provide individuals a “summary of benefits and coverage” that “accurately describes the benefits and coverage under the plan.” an in-network provider directory is part of the description of coverage under the plan. educating individuals with standard industry language and information is critical in addressing the mental health epidemic. in terms of access to care and helping individuals efficiently find appropriate care, one obvious step is universal access to the information that’s already collected/required for insurance authorizations and currently withheld from the public; like diagnosis codes billed by provider. supplement that with the number of individuals seen within each diagnosis and and length of time the provider has been billing those codes per individual and we have a clear picture of what that provider’s specialty is. currently, available mental health search resources are through 3rd parties who have built a collection of unverified, self reported practitioner/facility data. most don’t offer search terms in standard industry language and all of them include a limited number of providers. these 3rd parties make money off selling ad space, practice mgmt software, platforms etc. their customer is not the individual; it’s the practitioner/facility. data transparency/freedom of information would help individuals seeking treatment find appropriate care very efficiently. insurance companies will save money in wasted prospecting visits. practitioners/facilities can fill beds and calendars with appropriate clients, lowering liability and workplace stress. the mental health care industry could identify opportunities for growth/change on a local/regional/national level and give insight into skilled vs high-risk practitioners/facilities. most importantly, universal access to mental health data would improve individual outcomes. anyone in mental health care w a different goal, please pause for self-awareness.
“But Dr. Robert Trestman, a Virginia psychiatrist who testified about ghost networks to the same committee, told ProPublica that insurers are able to track “every detail of finance” around things such as billing and coding. Because of that, he said, insurers’ failures “to set up a system for keeping track of who is in network or not is on them.’”
How to Find an In-Network Mental Health Provider
propublica.org
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The Supreme Court has recently made a key ruling, allowing lower courts greater authority in behavioral health care regulation. Overturning the 40-year old Chevron doctrine by a 6-3 vote, the decision removes the necessity for lower courts to defer to federal agencies when interpreting unclear statutes. https://buff.ly/3YDtWa2 #expertwitness #mentalhealthprofessionals #consultants
Supreme Court’s Decision to Overrule Chevron Doctrine Set to Impact Behavioral Health Regulations
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Insurance companies are not prepared to productively cope with how things are shifting. My prediction is that we will see more of this in the coming years, and employers will need to look at more proactive models for supporting their workers so that they are less reliant on insurance companies due to the process being costly and cumbersome (or worse). We are relying too heavily on insurance systems when there is a better way that is supported by a lot of research! Just ask me about it 😏
The court awarded the plaintiff damages for mental distress caused by insurer’s breach of good faith. #longtermdisability #personalinjury #personalinjurylawyer #personalinjuryattorney #personalinjuryattorneys #MentalDistress #GoodFaith
Kardaras v. Sun Life Assurance Company of Canada, 2020 ONSC 3925 (CanLII)
longtermdisabilitytoronto.com
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Did you know the recent passing of Act 60 of 2023 is going to expand eligibility of the Heart and Lung benefits for County Governments? This article, written by Scott Bogdan outlines everything you need to know about the recent legislation. #askanexpert
PA Heart And Lung Benefits and Recent Changes for County Governments, Explained - EHD Insurance
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