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Health Information Management Compliance : A Model Program for Healthcare Organi

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Health Care Information Systems - Wager, Karen A./ Lee, Frances Wickham/ Gla
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Natural Healthcare for Your Child: Trustworthy Information on the Prevention, C
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You can also read the actual bill here: http://www.opencongress.org/bill/111-h3200/show. Know better? Leave your own answer in the comments! Tags:Go to.Go. Go to article …

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You can also read the actual bill here: http://www.opencongress.org/bill/111-h3200/show. Know better? Leave your own answer in the comments! Tags:Go to.Go.Go.

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If the Supreme Court overturns President Barack Obama’s health-care law, someone will have to figure out what’s going to happen to the $ 1 billion the federal government has already handed out to states and territories to establish state-regulated health-care plans.

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lets try this again,opencongress…org..bill…111..h3200…show. travel1949 says: May 30, 2012 at 10:53 am. I guess you tube will not let me cut and paste. runman1271 says: May 30, 2012 at 11:53 am. Obama has clearly …

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… AM (UTC -5). lets try this again,opencongress…org..bill…111..h3200…show … PM (UTC -5). where can I read this bill ? could you post the reference ? … READ the bill it states you will loose you private insurance PAGE 16 …

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Reply. lets try this again,opencongress…org..bill…111..h3200…show … Reply. where can I read this bill ? could you post the reference ? … Reply. READ the bill it states you will loose you private insurance PAGE 16 …

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New York, NY (PRWEB) November 05, 2013

MultiPlan, Inc. today announced its settlement of the California state law qui tam lawsuit brought initially over three years ago by Rockville Recovery Associates, Ltd. against the Sutter Hospital System. Both MultiPlan and their affiliate company Private Healthcare Systems, Inc. (MultiPlan) were named as Defendants in the suit, which alleged false billing of certain anesthesia services on the part of Sutter, and further alleged that MultiPlan aided and abetted Sutter in these practices through the audit provisions of their provider network contracts with Sutter.

This agreement to amicably resolve the matter was made strictly on the basis of the additional costs involved in continuing to defend MultiPlans position. MultiPlan has consistently and vigorously denied any part in any alleged fraudulent scheme. In fact, MultiPlan contends that it should have been dismissed from the suit at its outset, an argument supported by the financial terms of the settlement.

MultiPlan operates preferred provider organizations that act as intermediaries between payers and providers. As an intermediary, it is critical to MultiPlan’s success that provider contracts permit reasonable measures by payers to remedy payment disputes and for providers to do the same. Rockville alleged that the audit provision in MultiPlans contracts with Sutter assisted Sutter in submitting allegedly false, fraudulent or misleading bills to insurance companies with which MultiPlan also had contracts. The audit provision which was not required to be changed as part of the settlement adequately provides both Sutter and payers with a remedy for disputed payments.

In addition, MultiPlan does not have any involvement with or responsibility for billing methodology or the setting of service charge masters for any provider participating in their networks, and Sutter confirmed that MultiPlan had no involvement with Sutters billing methodology. Furthermore, the number of claims with which MultiPlan was allegedly involved was quite small in relation to the total number of claims which Sutter submitted and which were the subject of the lawsuit.

The Settlement Agreement did not require the amendment of the Sutter agreements or any of MultiPlans current hospital network contracts in California. The Agreement did include certain non-financial terms related to network contracts executed with hospitals in California going forward, all of which are already standard MultiPlan contracting practice.

Lawsuit referenced is case number 34-2010-00079432; court of record is the Superior Court, State of California, County of Sacramento.

About MultiPlan

MultiPlan, Inc. is the industrys most comprehensive provider of healthcare cost management solutions. The company provides a single gateway to a host of primary, complementary and out-of-network strategies for managing the financial risks associated with healthcare claims. Clients include large and mid-sized insurers, third party administrators, self-funded plans, HMOs and other entities that pay claims on behalf of health plans. MultiPlan is owned by BC Partners, a leading international private equity firm, and Silver Lake, the worlds largest private investor in technology. For more information, visit http://www.multiplan.com.







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The ObamaCare Handbook: Understanding the Basics of the Patient Protection and Affordable Care Act of 2010

The ObamaCare Handbook: Understanding the Basics of the Patient Protection and Affordable Care Act of 2010

“What exactly is Obamacare? How will it affect me and my healthcare situation, my finances, my family? The Obamacare Handbook begins to answer these daunting questions, giving readers a path forward. It provides a sound starting point for what is certain to be a critical issue for all Americans in the coming months.” — Roberta Sanchez

“In this concise volume, William Dhiel clears away the clutter that clings to this topic, giving us clear understanding of The Affordable Care Act’s basic elements, and positions us to proactively prepare ourselves for its effects.” — S.M. Hennings

The Obamacare Handbook has been on the Amazon Kindle Best Sellers List since its publication earlier this year. Why? Because it takes the complicated issue and makes it simple to understand. No politics, no opinions, just facts.

The past few years have been dominated with passionate arguments for and against what has come to be known as ObamaCare. With the passing of the Patient Protection and Affordable Care Act of 2010 and the Supreme Court ruling and the election results of 2012, ObamaCare is now officially America’s new health program.

So now what?

At the publication of this book, much of the details of ObamaCare have yet to be decided and explained. There are several different groups with specific interests and responsibilities all trying to figure out how to successfully integrate these new laws into a cohesive, understandable and effective program.

The purpose of this book is to lay the foundation and provide you with the basic facts so that as more decisions are made and more information becomes available, you will have the necessary understanding to make the most informed and beneficial decisions for yourself, your family and your business.

In this book you will learn:

What are the basic details of the new law?
How does this affect me as an employee, self-employer or employer?
What options do I have?
How do I assess what is best for me and my family?
What steps do I need to take?

If you are unsure of what the future of your health insurance looks like, this book is for you. If you are confused by all the different things you have been hearing and reading, this book is for you. If you need a clear and concise explanation of the basic law and health reform strategy, this book is for you. And if you want to take a proactive approach to your health care situation, this book is for you.

Buy this Amazon Kindle Best Seller now!

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