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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

TRENTON, New Jersey (AP) ― British drugmaker GlaxoSmithKline will pay $3 billion in fines ― the largest health care fraud settlement in U.S. history ― for criminal and civil violations involving 10 drugs that are taken by millions of people.

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http://www.redgage.com/blogs/imelbertjocos/springhill-group-learn-what-a... In today's economic climate, who will help you protect your company and your clients from the devastating impact of fraud? Fraud can creep into your business in a number of ways. You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution.

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There will be an open call for the Brighton Beach Memoirs at the Boiler Room Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike their usual by-appointment audition process, all auditionees need to attend the open call at 2 PM. Actors will read from the script in groups; no need to prepare any audition material. Call backs will be held the same day. Bring (2) copies each of your headshot and resume. The show is scheduled to run My 7th through the 29th. For audition questions, call 615-794-7744. Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday, April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or women of any age. Auditions will consist of readings from the script. For more information, please contact director Alan Mancuso directly at 708- 6288 (cell) or 794-4045 (home). Actors, reenactors and muscians are desired for a Performance Reading of Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be held Monday 7-8:30 PM. Daytime auditions may be by appointment. The auditions will be held at the Heron Center, located at the Tennessee Children's Home (TCH) at 5350 Main Street Spring Hill. 12 men and 7 women ages 18 to 60+. Rehearsals begin after Easter. Performances are scheduled for May 6-8. Scathe is a play with music to be performed as an Outdoor Historical Drama. It concerns the civil war, a love triangle, conspiracy and murder. There is no pay but performers will receive a copy of the performance for their portfolio. For more information contact Deanne Collins at deannemcollins@bellsouth.net.

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WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem. While carrying out the requirements of President Barack Obama's health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through Medicare. Obama continues to rail against industry "abuses." Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government's efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal. Yet, although Medicare is becoming a harder target, it's too early to say if the tide has turned. Some antifraud efforts launched with great fanfare have yet to deliver convincing results.

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Springhill Care Group Labor Group fights for better pay for Home Care Workers Americans live longer base from the statistics, thus making the population age and as it ages the need for home care workers will grow significantly. According to the Bureau of Labor Standards, the Home Care Workforce will grow from 1.7 Million to 2.6 million in 2018, but the people caring for seniors in their homes earn on average less than 10 dollars an hour and many do not get benefits. A number of those workers assembled at the Food and Medicine Headquarters in Brewer Thursday to encourage their Senators to make it a priority to improve pay, benefits and training for this growing workforce. Helen Hanson stood at a podium from her huddling under the tent and shared her financial struggles during her work as a home care worker. "My bills are paid but when the oil tank is down do I pay the mortgage or do I spend 350 dollars to put 100 gallons in the oil tank," she said. Although Hanson loves going into peoples' homes to care for them she couldn't make the ends meet. So instead, she went to work at a rehab facility as a certified nurse and she got better pay and benefits. This kind of problem is one example of a nationwide concern. "We have 3 million direct care health workers in the country right now and we're projecting 27 million seniors by 2050," Pointed out Reverend Mark Doty, one of those gathered at the Food and Medicine Rally. The pro workers group had a stage demonstration where they showed how hard their work is. The demonstration is even complete with a juggler to show how complicated it is for home care workers to juggle their responsibilities. Everything is happening while caring for a growing number of seniors and finding an easy solution may be a juggling act too. The issue becomes how to pay for a better wage for them after all agree that home care workers should be paid well. Source: http://news.springhillcaregroup.net/2013/05/14/labor-gr

Springhill Home Care Group: Mid-life stress 'precedes dementia' http://springhillcaregroup.net/archives/269 Current evidence suggest the best ways to reduce the risk of dementia are to eat a balanced diet, take regular exercise, not smoke, and keep blood pressure and cholesterol in check" - Dr Simon Ridley Alzheimer's Research UK According to the latest research, women who suffer from a lot of stress in middle age may increase their risk of developing dementia in later life. Furthermore the study says that mid-life stress may increase a woman's risk of developing dementia. Eight hundred women were subjected to study and they have found out that those who had to cope with events such as divorce or bereavement were more likely to get Alzheimer's decades later. BMJ Open reports says, the more stressful events there were, the higher the dementia risk became. According to the study authors, stress hormones may be to blame, triggering harmful alterations in the brain. Many changes in the body is caused by stressed hormones, it can also affect many things like blood pressure and blood sugar control. And they can remain at high levels many years after experiencing a traumatic event, Dr Lena Johansson and colleagues explain. However they also claim that they need more work to verify their findings and determine whether the same stress and dementia link might also occur in men. The study went like this, the women underwent a battery of tests and examinations when they were in either their late 30s, mid-40s or 50s, and then again at regular intervals over the next four decades. One in four women said at some part in the start of the study that they had experienced at least one stressful event, such as widowhood or unemployment. A comparable proportion had suffered at least two stressful events, whereas one in five had experienced at least three. The remaining women had either experienced more than this or none. Four hundred twenty five of the women died and 153