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Calculation of Lien Payments

Calculation of Lien Payments

The ICS has been following a line of court cases regarding the calculation of lien payments to health care providers in injury cases. In some jurisdictions, courts have ruled that plaintiffs (patients) in injury cases may deduct and retain litigation costs from the total settlement or judgment amount BEFORE applying the percentages to pay health care liens. Of course, this formula reduced the amounts available for payment of health care liens and effectively required health care providers to share in the payment of litigation costs.

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Applying for a License in Illinois

Applying for a License in Illinois

Under the Medical Practice Act of 1987, the Department of Financial and Professional Regulation (IDFPR) is responsible for regulating the practice of medicine, including the issuance of licenses and enforcement of laws that apply to licensees. The ICS has previously published an article entitled, “Administrative Investigations at the IDFPR: Know the Process and Handle With Care,” which details the enforcement process and is available to ICS members on the ICS website at www.ilchiro.org/.

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A Simple Check that Can Save Thousands (and Prevent Sanctions)

A Simple Check that Can Save Thousands (and Prevent Sanctions)

Federal law gives authority to the Office of Inspector General (OIG) to impose Civil Monetary Penalties to practices that hire an employee/contractor who has been excluded from Medicare (or other federal programs). If the employee/contractor is involved in any part of service to the Medicare (or other federal program) patient, it can create a penalty liability as much as $10,000 PER service rendered.

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BCBS Federal Expands Coverage

BCBS Federal Expands Coverage

The American Chiropractic Association announced yesterday that effective January 1, 2014, the BCBS Federal Employee plan will “now cover any licensed medical practitioner for covered services performed within the scope of that license, as required by Section 2706(a) of the Public Health Service Act (PHSA).”

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