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| Class Action by Maine Physical Therapists |
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 Class Action Brought by Duane Morris on Behalf of Licensed Physical Therapists in the State of Maine Participating in Anthem’s Networks Survives Antitrust Scrutiny
BANGOR, Maine--(BUSINESS WIRE)--Chief Judge Humphrey of the Maine Business and Consumer Court recently allowed a class action filed on behalf of all licensed physical therapists who are participating providers with Anthem Health Plans of Maine to go forward against Anthem for allegations of violations of the Maine Antitrust Act, which carries the possibility of an award of multiple damages and attorneys fees, as well as a claim of breach of contract.
Click following link for full text of this news release: http://tinyurl.com/3nbp4u
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Posted by khmailly on Wednesday, April 16 @ 07:24:58 EDT (24 reads)(Read More... | Score: 0) |
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| Procura Management Inc. Signs Partnership |
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 New Jersey-Procura Focuses on N.J. Through Mitchell International Partnership: Business [03/20/08]
Procura Management Inc., a provider of medical cost-containment and managed care services to the workers’ compensation and automobile insurance industry, announced Wednesday that it has signed a partnership agreement with Mitchell International Inc.
The agreement was made through Mitchell's Medical division, which provides medical bill review, workflow solutions and decision support tools to the majority of U.S. automotive insurance carriers, Procura said in a press release. The partnership is enhanced by Cypress Care’s pharmacy and ancillary healthcare services offered through Procura’s network, the company said.
Mitchell and Procura will provide automobile property and casualty carriers access to regional and national specialty provider networks that include physician, hospital, medical services, pharmacy and other ancillary healthcare services, the company said. In addition, Mitchell and Procura will develop an integrated end-to-end solution using Mitchell’s Decision Point bill review application, its proprietary Claimant Treatment Guide and Procura’s leading pre-certification program that meets the New Jersey regulatory needs as required by Automobile Insurance Cost Reduction Act (AICRA).
Procura said the partnership will extend its capabilities further into the medical cost containment arena, particularly in New Jersey. The solution results in access to care for policyholders, review of medical expenses through increased utilization of network providers, and increased visibility to claims matching the criteria for medical services, the company said.
Source: Procura Management
CONFIDENTIALITY NOTICE: This news item is being provided as a courtesy of the NJ Society of Independent Physical Therapists, intended for non-commercial use by the recipient, and is not protected from disclosure so long as this disclaimer is included.
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Posted by khmailly on Friday, March 21 @ 08:23:06 EDT (37 reads)(Read More... | Score: 0) |
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| CMS Medicare Adminstrative Contractor News |
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 The Medicare Administrative Contractor (A/B MAC) award for Jurisdiction 12 (J12) has been restored to Highmark Medicare Services (HMS) of Camp Hill, Pennsylvania. All of the workload will be transitioned into the new MAC contract by the end of 2008.
This announcement follows the resolution of a protest filed with the Government Accountability Office (GAO) of the A/B MAC award made under solicitation CMS-2006-0033 and announced by CMS on October 24, 2007.
Highmark Medicare Services will be the A/B MAC for the states of Pennsylvania, New Jersey, Maryland, Delaware, and the District of Columbia and will serve as the first point of contact for the processing and payment of Medicare fee-for-service claims from hospitals, skilled nursing facilities, physicians and other health care practitioners in this geographical area.
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Posted by khmailly on Wednesday, March 19 @ 22:15:44 EDT (32 reads)(Read More... | Score: 0) |
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| Forest Hills workers win suit for $74K back wages |
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 03/13/2008
Forest Hills workers win suit for $74K back wages
By Alex Christodoulides
It was payday last week for 22 employees of a Forest Hills physical therapy office who sued their employer for more than two years' worth of unpaid back wages and overtime, according to the U.S. Labor Department.
"This case should serve as a reminder to employers of low-wage workers throughout New York City that the U.S. Labor Department will not hesitate to compel them to meet legal obligations to their employees through litigation when necessary," said Philip Jacobson, director of the Wage and Hour Division's district office in the city.
Click below for complete story:
CONFIDENTIALITY NOTICE: This news item is being provided as a courtesy of the NJ Society of Independent Physical Therapists, intended for non-commercial use by the recipient, and is not protected from disclosure so long as this disclaimer is included.
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Posted by khmailly on Friday, March 14 @ 14:10:47 EDT (28 reads)(Read More... | Score: 0) |
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| Physical Therapists: The Ability Specialists |
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Physical Therapists: The Ability Specialists
Are you aware of who Physical Therapists (PTs) are, and what they do? Many people think that PTs only care for patients who have had fractures, strokes, or other types of injuries and illnesses. They think that PTs help people get "back on their feet". While this is certainly true, there is much more to Physical Therapy than most people may be aware. Maybe the best way to put it is that we are
"The Ability Specialists".
In other words, we do not really treat the fracture, or the stroke, we treat what those conditions have done to the individual. In fact, we treat people's abilities and disabilities. We help people overcome the effects of some of these conditions, and help people return to useful productive lives. We may help the grandparent return home, the child return to school, the athlete return to the field, or the builder return to work. Physical Therapists do it all!
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Posted by mschwall on Tuesday, March 04 @ 23:00:00 EST (35 reads)(Read More... | 7469 bytes more | Score: 5) |
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| Sunday, March 02 | | · | NJSIPT Issues Comments on NGS Medicare LCD Draft |
| Tuesday, February 26 | | · | Testimony on A2123 |
| Monday, February 25 | | · | A2123 Passed by Assembly Committeee Today! |
| Thursday, February 21 | | · | NJSIPT Issues Support Statement on A2123 |
| Tuesday, February 19 | | · | More on the NY Attorney General and the Health Insurance Industry |
| Friday, February 15 | | · | NY Attorney Press Release on Insurer Investigation |
| Wednesday, February 13 | | · | Health Insurers Probed Over Reimbursement |
| Sunday, February 10 | | · | Compliance and Practice Questions and Answers |
| Thursday, February 07 | | · | A2123 Introduced in the New Jersey General Assembly |
| Thursday, January 31 | | · | Medicare Announces Medicare Learning Network |
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Posting of open positions is available to NJSIPT members only. Posting of Position Wanted information is restricted to registered users but NJSIPT membership is not required. Only NJSIPT members may view the Position Wanted postings. |
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