Group items tagged

sophiamostel: Springhill Care Group : 2012 U.S. Healthcare: UCR or '$99,750 Ear Wax Fraud'? Aetna Wants Court to Stop Hospital's UCR Billing On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of-network (OON) doctors, surgical centers and hospitals will "make it or break it", depending upon the outcome of this new Aetna lawsuit, as an emerging trend in managed litigations. "While the alleged $99,750 ear wax UCR fee may or may not be an isolated inadvertent error, the payor's new lawsuit to outlaw all OON UCR billing as fraud certainly represents a new 2012 trend and detrimental blow to all OON providers and 77% of insured Americans in private industry," says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance. "Failure to recognize the impact of the payor UCR legal actions under $99,750 ear wax anti-fraud strategies and to quickly act with compliant solutions, the OON market will most likely fail by the end of 2012," warned Dr. Zhou. According to the court documents, "Plaintiffs Aetna Health Inc. and Aetna Life Insurance Company (collectively, "Aetna") bring this action under the laws of thi

billiepalance: Springhill Group Florida:: Living and Care Options Springhill Group living and care options are available depending on what the residents need and prefer. Independent Living The independent accommodations are occupied for those who wish to maintain a significant standard of flexibility, but also value the friendly relationship, the security, recreational facilities, and care that is provided by to them. The homes are designed to allow residents simple and easy household management encircled by warm and friendly neighbours Assisted Living Assisted Living is desirable to people who need a little extra care with their everyday living. You will also find here theflexibility and security of owning your personal space, to have your valuable possessions and things around you. Resthome Level Care Resthome level care in a Ryman Village, offers residents the very best in clinical care, while receiving the benefits of living in our warm and welcoming community. sophiamostel: Springhill Care Group : 2012 U.S. Healthcare: UCR or '$99,750 Ear Wax Fraud'? Aetna Wants Court to Stop Hospital's UCR Billing On Dec 7, 2011, Aetna filed a lawsuit against two PPO surgeons and one out-of-network (OON) hospital, in the District Court, Harris County, Texas. Aetna lawsuit seeks to recover damages and attorneys' fees and for court temporary injunction to stop the OON hospital's UCR billing and PPO surgeon's referrals, alleging breach of contract, conspiracy to overcharge, tortious interference, and common law fraud, including "a bill for $99,750 for the removal of ear wax". A new 2012 "UCR war" already unfolds in the court. ERISAclaim.com offers private Webinars to examine this court case, its profound impacts on all OON providers, and explore compliant solutions and protections under ERISA and PPACA as well as OIG Guidance. Aetna OON UCR Case info: AETNA HEALTH INC vs. SOFOLA, IFEOLUMIPO O (MD) (Case #: 2011-73949 / Court 152) In 2012, most out-of

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital. According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there. Immediately after the incident, the Chinese government has expressed its disapproval about the entire affair, demanding an apology from the US for taking Chen in. "What the U.S. side should do now is neither to continue misleading the public and making every excuse to shift responsibility and conceal its wrongdoing, nor to interfere in the domestic affairs of China," said Chinese Foreign Ministry spokesman Liu Weimin. This incident came just when the US Secretary of State Hilary Clinton is visiting Beijing in a meeting with Chinese officials on security and trade talks. And although no one mentioned Chen's name, it is evident in their statements that the incident is on the spotlight as the 2 nations struggle to maintain common ground. Clinton said in her opening statement, "The United States believes that no state can legitimately deny the universal rights that belong to every human being - or punish those who exercise them. A China that protects the rights of all its citizens will be a stronger, more prosperous partner for the United State

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital. According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there. Immediately after the incident, the Chinese government has expressed its disapproval about the entire affair, demanding an apology from the US for taking Chen in. "What the U.S. side should do now is neither to continue misleading the public and making every excuse to shift responsibility and conceal its wrongdoing, nor to interfere in the domestic affairs of China," said Chinese Foreign Ministry spokesman Liu Weimin. This incident came just when the US Secretary of State Hilary Clinton is visiting Beijing in a meeting with Chinese officials on security and trade talks. And although no one mentioned Chen's name, it is evident in their statements that the incident is on the spotlight as the 2 nations struggle to maintain common ground. Clinton said in her opening statement, "The United States believes that no state can legitimately deny the universal rights that belong to every human being - or punish those who exercise them. A China that protects the rights of all its citizens will be a stronger, more prosperous partner for the United State

Guns don't kill people; people kill people; and people with guns kill even more people. They also save more people who would otherwise be at the mercy of the criminals. SPRINGHILL TOWNSHIP, Pa. - An 85-year-old great-grandmother in Fayette County busted a would-be burglar by pulling a gun, then forcing him to call for help while she kept him in her sights. http://www.thepittsburghchannel.com/news/17232825/detail.htm… Venus Ramey, 82, confronted a man on her farm in south-central Kentucky last week after she saw her dog run into a storage building where thieves had previously made off with old farm equipment. Ramey said the man told her he would leave. "I said, 'Oh, no you won't,' and I shot their tires so they couldn't leave," Ramey said. She had to balance on her walker as she pulled out a snub-nosed .38-caliber handgun. "I didn't even think twice. I just went and did it," she said. "If they'd even dared come close to me, they'd be 6 feet under by now." http://www.foxnews.com/story/0,2933,267540,00.html Hancock County Sheriff's Investigator Andre Fizer said about an 84-year-old man's decision to shoot through a house door at another man who was trying to barge into the house: "You could tell he was devastated. You could tell he was scared." And rightfully so. Twenty-year-old Wade Ledesma made repeated attempts to break in to the house at about 5 a.m. on July 27, threatening to kill him throughout. Ledesma "tried to break through the front door and also tried to enter through a back door and a rear window of the residence. The resident called 911 and reported that the intruder was trying to force his way into the home…. [The elderly man] held himself against the door to keep [Ledesma] from entering," reported the Sun Herald. The resident became tired from holding the door and, worded about his and his wife's safety, asked his wife to get his pistol. He fired a shot through the door, meant to merely be a warn

Guns don't kill people; people kill people; and people with guns kill even more people. They also save more people who would otherwise be at the mercy of the criminals. SPRINGHILL TOWNSHIP, Pa. - An 85-year-old great-grandmother in Fayette County busted a would-be burglar by pulling a gun, then forcing him to call for help while she kept him in her sights. http://www.thepittsburghchannel.com/news/17232825/detail.htm… Venus Ramey, 82, confronted a man on her farm in south-central Kentucky last week after she saw her dog run into a storage building where thieves had previously made off with old farm equipment. Ramey said the man told her he would leave. "I said, 'Oh, no you won't,' and I shot their tires so they couldn't leave," Ramey said. She had to balance on her walker as she pulled out a snub-nosed .38-caliber handgun. "I didn't even think twice. I just went and did it," she said. "If they'd even dared come close to me, they'd be 6 feet under by now." http://www.foxnews.com/story/0,2933,267540,00.html Hancock County Sheriff's Investigator Andre Fizer said about an 84-year-old man's decision to shoot through a house door at another man who was trying to barge into the house: "You could tell he was devastated. You could tell he was scared." And rightfully so. Twenty-year-old Wade Ledesma made repeated attempts to break in to the house at about 5 a.m. on July 27, threatening to kill him throughout. Ledesma "tried to break through the front door and also tried to enter through a back door and a rear window of the residence. The resident called 911 and reported that the intruder was trying to force his way into the home…. [The elderly man] held himself against the door to keep [Ledesma] from entering," reported the Sun Herald. The resident became tired from holding the door and, worded about his and his wife's safety, asked his wife to get his pistol. He fired a shot through the door, mea

MOBILE, Alabama - Drury Lane in Country Club Estates has the look and feel of a country lane: secluded, narrow - less than two lanes wide - and heavily-wooded, with well-kept homes appearing as if by magic among the trees. Yet some of its 17 homes, including corner lots at Wimbledon Drive to the south and Hillwood Road to the north, are within a short iron shot of the Country Club of Mobile north nine golf course and about two blocks from the main club buildings themselves. Residents of Drury Lane, from near and far, had high praise for the Spring Hill area and their neighbors. "We love it here. Absolutely love it. Drury Lane is a wonderful street. The best street in Mobile, I believe," said resident Lee Robinson, a Mobile native, who grew up 300 yards away on Wimbledon Drive, where his parents, Lee and Helen Robinson, still live. The Robinsons' home is one of the through lots on the street, with a front entrance on Hillwood Road and a back entrance on Drury Lane. The family prefers the backyard for activities and neighboring, said Robinson. "The neighbors have been fabulous and a huge blessing," said his wife, Aimee, also a Mobile native. "The minute you have a storm, everyone here comes together." The Robinsons and their three daughters had just moved in shortly before Hurricane Katrina in August 2005, but were invited to stay the night with neighbors, who had 14 people in their home, to share their generator power, she said. Robinson discovered both Mobile and family tradition in the vintage 1937 home on the lane when he thoroughly renovated it in 2007-08. The home had original hardwood floors, a double coincidence, because Robinson is president of Overseas Hardwoods Co., and his grandfather was in the hardwood flooring business with the family-owned Mobile River Sawmill in Mount Vernon, Robinson said. Mobile River Sawmill first made hardwood flooring in the early 1930s - the mill was so

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital. According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there.

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital.

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital.

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital.

http://www.zimbio.com/Springhill+Care+Group/articles/ieMYsqdEiBe/Pension+Obligations+Rights+livejournal?add=True Mandatory Pension Contributions: Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

thanks for such a nice sharing..

The decision of US to let the blind human rights activist Chen Guangcheng return into China's fold following his escape from authorities is straining ties between the two countries as diplomatic dialogues opened in Beijing. The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital. According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there. Immediately after the incident, the Chinese government has expressed its disapproval about the entire affair, demanding an apology from the US for taking Chen in. "What the U.S. side should do now is neither to continue misleading the public and making every excuse to shift responsibility and conceal its wrongdoing, nor to interfere in the domestic affairs of China," said Chinese Foreign Ministry spokesman Liu Weimin. This incident came just when the US Secretary of State Hilary Clinton is visiting Beijing in a meeting with Chinese officials on security and trade talks. And although no one mentioned Chen's name, it is evident in their statements that the incident is on the spotlight as the 2 nations struggle to maintain common ground. Clinton said in her opening statement, "The United States believes that no state can legitimately deny the universal rights that belong to every human being - or punish those who exercise them. A China that protects the rights of all its citizens will be a stronger, more prosperous partner for the United State

"Springhill Care Group - Spain's borrowing costs on its 10-year government bonds fell to the lowest level since January on Thursday. At its latest debt auction raised 4.8 billion euros and saw strong demand from investors for the bonds maturing in three and 10 years' time. Madrid has been able to more easily sell its bonds at lower rates of interest since the European Central Bank announced its bond-buying plan. Trader Ignacio Blanco with Bankinter said: "Over the last month and a half bond interest rates are down more than two percent, since Draghi spoke at the end of July. There was strong demand in the days before the auction and today too. They were buying bonds before, they continued to buy today, and the initial operations after the auction were good." Many analysts have warned Spain's borrowing costs could skyrocket to unsustainable levels unless Rajoy asks for an international bailout, at which point the ECB would start buying Spanish bonds. The country's economic crisis is exposing deep fault lines with the wealthy, but heavily indebted, region of Catalonia calling for tax breaks. Catalonia, which is in northeastern Spain, generates one fifth of the country's economic output and is home to 16 percent of Spaniards. More than half of Catalans say they want a separate state, and hundreds of thousands marched in Barcelona last week - the biggest such show of separatist fervor. The upsurge in Catalan separatism is founded on a conviction that Madrid is draining the region financially. The central government collects most taxation payments then redistributes them to Spain's 17 self-governing regions, which run their own schools and hospitals. Each year Catalans say they pay 16 billion euros more in taxes than the regional government spends. The region's debts have made the Madrid government's task of balancing the budget more difficult. Rajoy has threatened to intervene in regions that cannot control their budgets. Catalonia is li

Clinton said in her opening statement, "The United States believes that no state can legitimately deny the universal rights that belong to every human being - or punish those who exercise them. A China that protects the rights of all its citizens will be a stronger, more prosperous partner for the United States." Dai Bingguo issued a rebuttal on behalf of China, saying, "I wish to point out in particular the fundamental way to manage state-to-state relations is to abide by the basic norms of international relations, namely to respect China's sovereignty, core interests and choice of social system." Meanwhile, Chinese President Hu Jintao made his point known in his opening speech during the 4th round of US-China Strategic and Economic Dialogues. He remarked that US and China should know how to respect each other despite their disagreements and also appealed to its counterpart to break the conventional belief that superpowers are bound to engage in conflicts.

Mandatory Pension Contributions: Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

It reveals how nicely you perceive this subject.

http://www.korea4expats.com/article-pension-obligations-rights.html Mandatory Pension Contributions:Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

Great blog! I found some interesting things in here that I might use for future references. Hoping to see more of this posts in the future!

http://louistomb.livejournal.com/3275.html Mandatory Pension Contributions:Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

hi it is a nice site.

Working and Business > Salary Deductions/Benefits Mandatory Pension Contributions:Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

I wanted to thank you for this great read !! I definitely enjoyed every little bit of it and I have you bookmarked to check out new stuff you post.

http://hayeksandy.blog.com/2012/07/25/pension-obligations-and-rights/ Mandatory Pension Contributions:Since 1999, all foreign workers between the ages of 18 and 60, regardless of the size of the workplace or the number of employees, have been included in the mandatory Korean National Pension Scheme with only a few exceptions.

Hello, I just checked out your blog and I loved it.

It is true that you step in to right place for getting Alzheimer's care from our trained professional team. Our medication and other daily treatments are managed to each individual senior from trained nurses to positively providing the appropriate care for all patients.

http://springhillcaregroup.net/archives/251 Yoga is very much popular nowadays and we all know it benefits while others think that it is hard to do and much more to elderly. The question is; can seniors, above 65, do yoga asanas? And the answer is of course, it is actually can do good for them as much as it can do well for any age. All ages and from all walks of life to utilize the techniques of yoga for creating a harmonious and joyful existence.Older people can do asanas. Union of the various aspects of our existence like body, breath, mind etc is the basic premise in yoga. The word yoga comes from a Sanskrit root 'Yuj meaning 'to unite'. But they can only do so provided they keep some guidelines in mind. The kind of asanas one should do as age progresses are the following: * Substitute warm-ups with brisk walking and joint movements. * Standing Yoga Poses Triangle Pose (konasana series) and Standing Spinal Twist (Kati chakrasanas) * Sitting Yoga Poses Butterfly Pose, Cradling (if possible), body rotation, Cat stretch and Child pose (Shishu Asana). * Yoga Poses lying on the back or stomach Focus on repetitions rather than holding any posture such as the Cobra Pose (Bhujangasana), the Locust Pose (Shalabhasana) or the Knee to Chin Press (Pawanmuktasana). * Yoga nidra is by far the most essential part of any yoga practice, and as age progresses, it becomes even more essential to help assimilate the effect of the asana practice into our system. There is also some easier exercise for seniors like, Sukshma Yoga. This can be practiced independently or in a group to be a part of a larger yoga plan. All ages can do the exercise and can receive its benefits for only within 20-30 minutes. It consists of simple and gentle exercises for the eyes, tongue and jaws, neck, hands, feet, knees, ankles and hips. Seniors should practice yoga asanas by following some guidelines. The Patanjali Yoga Sutras identify asana as "sthira sukham asanam" that define as st

Nursing home is a home combined with skilled nursing care, rehabilitative care, medical services, personal care, and recreation in a supervised and environment. Letting your love ones stay in the nursing home may be hardest decision but choosing the right home will be next hardest. Entering the nursing home doesn't mean that the family involvement ends, instead it is their responsibility to make sure that the home care provides good care. Remember the following when choosing the best home care: * Have a discussion with the loved one who will be living there. This will aid in adjusting to the major life change about to occur. * Work together with other family members and inquire for help in finding the best nursing home. * Be in touch with doctors, nurses, or any other health professionals or social workers who care for your loved one. * Chat with some nursing home employees, especially assistants since they give most of the care. * Solicit a pastor or rabbi for guidance. * Contact the long-term care ombudsman. People often think that home care is expensive and yes nursing home care can be expensive. It can differ widely depending on where you live but often the average cost is more than $50,000 a year and rising. Sadly, employee health insurance does not pay for nursing home care. A great number of nursing home residents, about a third of its population, pay all of their nursing home expenses from their own funds. Long stay in a home care can consume all your or your loved one's savings fast. There are many who exhaust their finances after just six months. And about a five percent of them buys long-term care insurance, which covers the cost of a nursing home or other extended care. Medicare, the federal health insurance program for older persons and some younger ones with disabilities, pays for short-term nursing home stays but the rest, about two-thirds, are from the Medicaid. The greatest share of the residents to pay

Tip O'Neill is known for his declaration: "All politics is local." Well, some politics is local. But some politics is national. And, nowadays, some politics is global. Tip is right in that most of us are focused on our neighborhoods, on our taxes, the crime rate and our job security, for example. However there are national issues that transcend localism. The debt ceiling and a declaration of war are hardly "local." We deal with these issues remotely by electing senators and representatives, hoping that they pay attention to local issues as well as national problems. That hope is being strangled these days. The approval rating of Congress is in single digits. Think of the corruption of Senate majority rule by misuse of the filibuster.