The ERISA Explained
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established...
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Aug 10, 2022
Leverage payment integrity solutions to ensure proper billing of tele-health services
Don’t be surprised if the U.S. Department of Health and Human Services continues the COVID-19 public health emergency in mid-July, based...
Jun 10, 2022
Stephen Carrabba President & Co-Founder of CI Featured in The Self Insurer Magazine
We’re excited to announce that Stephen Carrabba, our President and co-founder, was featured in the most recent edition of The Self...
Jun 10, 2022
Blue Cross Blue Shield hit with $5M - largest insurance fine in state history
Georgia's insurance commissioner has fined Blue Cross Blue Shield $5 million for violations of state laws and agency rules and...
Jun 10, 2022
Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged Before COVID-19 and Warrant
Code Creeping or Upcoding. It's all the same and the damage this has to employer plans across the country far exceeds the impact to...
Jun 10, 2022
The doctor didn't show up, but the hospital ER still billed $1,012
Martand Bhatt's parents weren't sure he needed immediate medical care when the energetic toddler burned his hand on the kitchen stove one...
Jun 10, 2022
We Asked Prosecutors if Health Insurance Companies Care About Fraud. They Laughed at Us.
To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers....
Jun 10, 2022
Ruling Gives Ammunition in Fights Over Health Insurer Clawbacks
Doctors, hospitals, and other medical providers now have a loaded arsenal to fight back with when health insurers try to claw back money...
Jun 10, 2022
Medicaid billing errors over several years cost state $1.5 billion
State Comptroller Thomas P. DiNapoli announced that errors in billing may have exposed patients to unqualified and uncredentialed...
Jun 10, 2022
Why this benefits CEO thinks the healthcare system may be working against employers
Employers and employees alike have witnessed the consequences of what happens when prices render healthcare inaccessible. Yet, it seems...
Jun 10, 2022
Federal and State Prosecutors Target BUCAHs with Legal Action
2020 was a landmark year in healthcare – and not just because of Covid-19. Over the last 18 months, multiple government agencies have...
Jun 10, 2022
ERISA 101: The Five Defining Questions Plan Fiduciaries Should be Ready to Answer
The Employee Retirement Income Security Act (ERISA), enacted in 1974, is one of the defining laws guiding the administration of...
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