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Tips for Collecting Your Health Care Claim against Self-Insured Health Plan

TASA ID: 3307

Obtaining reimbursement on a health care claim is not easy today because of all the different laws and regulations and insurance plans.  I recently worked on several cases to recover claims involving a large self-insured health plan. All self-insured plans are governed by the federal ERISA law and have “trustees” to administer the Plan. Many health care providers, including surgeons, surgery centers, chiropractors, and physical therapists have had their legitimate claims denied over recent years because of alleged fraudulent claims, but legitimate claims are payable.

Long-Term Sequelae of E.coli 0157:H7

TASA ID: 733

As we eat in places other than our kitchen, poor sanitation and contamination of food sources become a significant problem.  Although the FDA has established a series of guidelines for food safety, CDC incidence reports of Listeria, Salmonella and E. coli 0157:H7 are on the rise.  Some of the acute clinical symptoms related to these types of bacterial infection appear to be self-limiting, but the reality is that life-long problems persist.  Of interest to the lawyer and patient is to ensure that these significant risk factors are considered when the damages to the person are assessed.

Disputes between Physicians – Rights and Obligations of Professional Medical Corporation after Death of Sole Shareholder Doctor

TASA ID: 3307

Health care is one of the largest components of our national GDP (17.4% in 2013). Doctor services are a large part of that, comprising $587 billion in 2013.  Doctors traditionally operate through professional medical corporations in which they are the sole shareholder. It is the law in most, if not all states, that only other doctors can own a controlling interest in the corporation, and only doctors can be an officer or director.  (See for example California Corp. Code Sections 13406-13408).
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