Einiger & Associates

New York Healthcare Law

Articles

Insurance Carrier Auditsby Scott Einiger, Esq.

Category: Insurance, Scott Einiger

Insurance Carrier Audits Extrapolation and Refund Demands If you would like more information about this topic or any other topic contact Scott Einiger The practice of medicine has undergone a transformation with the advent of managed care healthcare delivery. Physicians need to be cognizant of the coding and billing requirements

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Facility Fee Reimbursementby Scott Einiger, Esq.

Category: Insurance, Scott Einiger

The information presented in this article is intended for educational purposes only and does not constitute legal advice. In cases of specific legal questions, always contact an attorney. A major trend in the health care industry is the recent challenge by various insurers to the reimbursement of facility fee charges

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Let the Unlicensed Bewareby Scott Einiger, Esq.

Category: Corporate Practice of Medicine, Scott Einiger

“View Article As Seen In New York County Medical Society – MM News: Legal Briefs” The following article is provided by Scott Einiger, Esq. and Basil H. Kim, Esq., from the firm of the Medical Society of the State of New York’s special counsel, Abrams Fensterman. The Corporate Practice of

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Decreasing Liabilityby Scott Einiger, Esq.

Category: Medical Malpractice, Scott Einiger

Decreasing Liability in the Medical Office Setting By Scott Einiger, David Verschell, Jordan Fensterman, Basil Kim Article appeared in the summer issue of MM “NEWS”, a publication of the New York County Medical Society PART I – Introduction and Medical Malpractice Introduction The legal aspects of the practice of medicine

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The New Managed Care Billby Scott Einiger, Esq.

Category: Medical Privacy & Security, Scott Einiger

How Is Your Medical Office Affected by the New Managed Care Bill? A significant piece of legislation changing the method by which carriers could seek overpayment demands and audits was signed into law by Governor George Pataki on August 18, 2006. This new legislation changes how carriers’ process claims for

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Medical Privacy and Securityby Scott Einiger, Esq.

Category: Medical Privacy & Security, Scott Einiger

Medical Privacy and Security: Is Your Medical Office Ready for HIPAA? I. Background Protecting confidential medical information has historically been addressed on a local level with each state setting its own rules and regulations. In New York State, the legal protections afforded individuals concerning their confidential medical information is delineated

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OBS Legal Updateby Scott Einiger, Esq.

Category: Office Based Surgery, Scott Einiger

The passage of New York’s Office Based Surgery (OBS) Law on July 14, 2007 (Public Health Law §230-d) was significant for physicians in New York State who perform procedures or surgeries in an office setting, or a cost effective alternative to procedures in a hospital/Article 28 setting. The new law

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Appealing Healthcare Claim Denialsby Scott Einiger, Esq.

Category: Insurance, Scott Einiger

Appealing Healthcare Claim Denials: Know Your Rights As we monitor the healthcare legal landscape each year, a number of new or amended laws in New York greatly impact our clients and their practices. As healthcare providers, few laws are more significant to you and your medical practice than those that

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Proper Coding: Stay Abreast of the Lawby Scott Einiger, Esq.

Category: Insurance, Scott Einiger

Proper Coding: Failure to Stay Abreast of the Law and Current Coding Practices Can Result in Civil Liability and Criminal Prosecution. Since the inception of the Current Procedural Terminology (“CPT”) coding system and the Healthcare Common Procedure Coding System (“HCPCS”), physicians have been attempting to ensure proper coding and record

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