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Aggressive Federal Investigations of Health Care Fraud Are Coming to a Town Near You |
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“Health care fraud convictions help recover billions.” “Massive health care fraud sweep snares 94 in Miami, nationwide.” “Medicare corruption gusher worsens.” The headlines announcing health care fraud investigations are coming fast and furious these days. While Medicare fraud has long been a priority of the Justice Department, that focus has dramatically increased in the past year, including President Obama’s emphasis on combating health care fraud as part of his plan to pay for the recently-passed health care reforms. In his September 9, 2009 address to a Joint Session of Congress, the President said, “[W]e’ve estimated that most of this plan can be paid for by finding savings within the existing health care system, a system that is currently full of waste and abuse.”
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Aaron M. Danzig
Arnall Golden Gregory LLP |
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Federal Courts Deny Challenge of RAC Audit |
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On July 28, 2010, a U.S. District Court in the Southern District of California rendered a decision of monumental significance to all providers who may consider challenging a RAC Contractor for violating the law. The original lawsuit, filed by Palomar Medical Center on March 24, 2009, was the first lawsuit filed against a RAC. The charge was that HHS (Health and Human Services) had allowed PRG-Schultz, the RAC Contractor for California, to unlawfully reopen a claim without showing “good cause” as required by Medicare regulations. The appeal was made, and the judge rendered his verdict – bottom line? The decision to reopen a claim with or without good cause is not subject to appeal.
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by Winston on August 11, 2010
in RAC News |
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MAA Launches Career Center |
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The Medical Association of Atlanta announces its newest benefit, The MAA Career Center, for physicians and health care providers. "Launching an online career center for physicians in the Atlanta area is a natural extension of our mission "to champion our community's well-being and safety while advocating a healthy environment in which physicians practice and serve" said MAA President Matt Gwynn, M.D.
MAA’s employment marketplace, like other JobTarget-powered career centers, distinguishes itself from generalist job boards in a number of ways. These include
• a highly targeted focus on employment opportunities in a certain sector, location, or demographic;
• anonymous resume posting and job application—enabling job candidates to stay connected to the employment market while maintaining full control over their confidential information;
• an advanced Job Alert system that notifies candidates of new opportunities matching their own pre-selected criteria;
• access to industry-specific jobs—and top-quality candidates—often not seen on Monster,CareerBuilder, or HotJobs.
“Niche job boards, like the one we’ve designed for the MAA,are an ideal way to recruit top candidates,” says JobTarget CEO Andrew Banever.
click here for Career Center
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Insurers and ratings groups post information to help patients choose doctors |
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For most people, picking a doctor is hardly a scientific process. They ask friends or family members to pass along names of doctors they like and trust, or rely on another doctor's referral.
Increasingly, health plans and independent groups are making physician information available online to help consumers make these choices more methodically. But experts caution that most doctor-rating systems are still rudimentary, and a four-star rating or other high-performance designation may not reliably reflect a doctor's abilities.
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By Michelle Andrews
Washington Post
Tuesday, August 3, 2010 |
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MAA Member and Delegate Appointed to Leadership Atlanta |
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 Medical Association of Atlanta member and delegate Maurice Sholas, M.D., Ph.D., Medical Director of Rehabilitation Services at Children's Heathcare of Atlanta, has been selected to participate in Leadership Atlanta 2011. Leadership Atlanta is the oldest sustained community leadership program in the nation. Only seventy-five established leaders, representing a broad cross-section of metro Atlanta, are chosen to participate each year.
As part of the Leadership Atlanta program, Sholas will participate in a nine-month, executive-level series. Through retreats, full-day seminars, service projects, discussion groups and community tours, he will explore critical community issues, leadership styles and build relationships of trust and mutual understanding.
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