Doctors and Patients Try to Shame Insurers Online to Reverse Prior Authorization Denials
Sally Nix was furious when her health insurance company refused to pay for the infusions she needs to ease her chronic pain and fatigue. Nix has struggled with a combination of autoimmune diseases since 2011. Brain and spinal surgeries didn’t ease her symptoms. Nothing worked, she said, until she started intravenous immunoglobulin infusions late last year. Commonly called IVIG, the treatment bolsters her compromised immune system with healthy antibodies from other people’s blood plasma. “IVIG turned out to be my great hope,” she said. That’s why, when Nix’s health insurer started denying payment for the treatment, she turned to Facebook and Instagram to vent her outrage. “I was raising...
Statute of Limitations for Medical Malpractice in Florida
Medical malpractice is a serious concern that can have far-reaching consequences for patients and medical professionals alike. In Florida, as in many other states, there are laws that govern the time frame within which an individual can file a medical malpractice claim. This legal time frame is known as the statute of limitations. Understanding the statute of limitations is crucial for patients who believe they have been victims of medical negligence, as it dictates when they can seek legal recourse. This article explores the statute of limitations for medical malpractice in Florida, providing a comprehensive overview of its significance and implications. Definition of the Statute of...
Featured Video
‘Just following orders’ isn’t a defense to fraud
A case from North Carolina highlights what we see too often: healthcare entrepreneurs and providers committing fraud, paying monetary penalties and even facing incarceration. But rarely do we see the penalties travel down the ladder to a company’s employees. A pharmacy owner was sentenced to 24 months this month for conspiracy to commit fraud. Apparently, the pharmacy owner ran a scheme for 11 years, billing Medicare, Medicaid and private insurers for prescription drugs that were never dispensed. Sadly, if you read enough of these OIG reports, billing for services that were not rendered is not new, and sooner or later, the authorities catch up to these criminals. The interesting twist is...
MassMutual Foundation awards $10k grant to Jewish Family Home Care
Jewish Family Home Care (JFHC), a not-for-profit agency, has received a $10,000 grant from the MassMutual Foundation as part of the foundation’s national Community Service Award (CSA) program. Jewish Family Home Care is one of 32 organizations to receive an award. The MassMutual Foundation made the grant in honor of the volunteer efforts of Sam Eppy, CPFA a financial professional affiliated with Levanti Wealth in Fort Lauderdale, Florida. “We are stronger when we come together as a community. Our Community Service Awards program recognizes financial professionals that choose to affiliate with MassMutual and embody the ‘Live Mutual’ spirit, working with members of their respective...
