by Gustavo Matheus | May 6, 2020 | Appeals and Denials, COVID-19 Updates, Healthcare Appeals, Healthcare Reimbursement, Managed Care Reimbursement
Healthcare Providers Must Insist HMOs Accept Electronic Filings An appeal recently filed with a health maintenance organizations (HMO) on behalf of a hospital was rejected because medical records were provided on a CD-ROM rather than on paper. That case involved 3,647...
by Jason Anderson | Nov 15, 2019 | Appeals and Denials, Business Law, Contract Review & Negotiation, General Litigation
Knowing the Collateral Litigation Exception to the American Rule Attorneys are always learning new things. Something I recently discovered relates to an exception to the normal attorney’s fees practices. It came up when an opposing counsel made a claim for attorney’s...
by Philip Wright | Sep 8, 2019 | General Litigation, Insurance Coverage Disputes
Debido a la antigüedad de la infraestructura en Maryland, este tipo de rupturas de tuberías ocurren con mayor frecuencia. Y pueden causar grandes dolores de cabeza. Además de interrumpir el tráfico, a menudo dañan propiedades adyacentes e interrumpen operaciones...
by Admin Anderson Quinn | Sep 4, 2019 | Anderson & Quinn News, Healthcare Reimbursement, Healthcare Updates
Anderson & Quinn Congratulates Gustavo Matheus Joining Leadership Montgomery CORE Class for 2020 Gustavo Matheus, director of Anderson & Quinn, LLC’s health law practice, has been selected to join Leadership Montgomery’s flagship CORE class for 2020. “I want...
by Gustavo Matheus | Aug 1, 2019 | Appeals and Denials, Denied Claim Appeals, Denied Claims Litigation, Healthcare Appeals, Healthcare Reimbursement, Hospital Reimbursement, Managed Care - General, Managed Care Reimbursement, Payer Reimbursement, Provider Denials
Utilization management requirements often run counter to the medical standard of care When representing providers, I have noticed an unfortunate trend in recent years. Utilization management (UM) is encroaching upon the profession of medicine. With utilization...
by Jason Anderson | Oct 3, 2018 | Healthcare Appeals, Healthcare Reimbursement, Hospital Reimbursement, Hospital Revenue Cycle
When Maryland hospitals attempt to discharge a fee-for-service Medicaid recipient to a lower level of care but are not able to, they may want to be reimbursed for “administrative days.” These are days of care for a patient who no longer needs acute inpatient care but...
