Involuntary Discharges
Anderson & Quinn Healthcare Attorneys
Rob Scanlon
Managing Member
From the blog
HHS Inspector General Report finds that Medicare Advantage Organizations improperly deny nearly 1 in 5 payment requests
On April 27, 2022, the Office of the Inspector General for the U.S. Department of Health and Human Services (“OIG”) released a report finding that Medicare Advantage Organizations (“MAOs”) are issuing unnecessary denials resulting in delayed care for patients and...
read moreWho’s Paying the Medical Bill?
By: Hailey Groover, Legal Assistant Conflicts in Coordination of Benefits Under Maryland Insurance Article § 15-1008 Healthcare providers occasionally run into situations where a patient will have coverage under two health plans. Ironically, because of...
read moreRevamping Prior Authorization Laws in Managed Care (Part 2)
Why Insurance Article § 15-1009 Should be Applicable to Managed Care Organizations This is the second of two articles regarding Maryland laws in need of updating. By: Jason C. Anderson and Gustavo Matheus In our last article, found here, we discussed the need for...
read moreRevamping Prior Authorization Laws in Managed Care
Why Healthcare Providers Should Insist on Laws Requiring Payment of Services Denied for Lack of Authorization: A Maryland MCO Case Study. This is the first of two articles regarding Maryland laws in need of updating. By: Robert P. Scanlon and Gustavo Matheus Two of...
read moreDenial of Hospital’s COVID Claim Shows Why Patients Must Support Providers
You might think that a health insurance company would not possibly contest the hospital treatment of an insured patient severely ill with COVID-19. Think again. COVID-19, also known as coronavirus, has created a global pandemic. More than 230,000 Americans have died...
read moreResolving payment disputes between Managed Care Organizations and Providers
Why litigation may be the best option in Maryland to recover denied claims Since its inception in 1997, Maryland’s HealthChoice program has expanded to provide healthcare coverage to a majority of Maryland’s Medical Assistance (“Medicaid) recipients. Through its...
read moreThe COVID-19 Pandemic Requires HMOs to Accept Digital Appeal Records
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...
read moreUnderstanding Attorney’s Fees and Maryland’s Collateral Litigation Doctrine
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...
read more¿Quién es responsable cuando la ruptura de una tubería de agua daña su propiedad?
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...
read moreGustavo Matheus Selected for Leadership Montgomery Class of 2020
Anderson & Quinn Congratulates Gustavo Matheus Joining Leadership Montgomery CORE Class for 2020Gustavo 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 to...
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