Category Archives: Insurance Coverage

Another Hospice Provider Charged With Overbilling Medicare and Medicaid

Passages Hospices, LLC of Illinois and its administrator and part owner, Seth Gillman were recently charged with overbilling Medicare and Medicaid for improperly keeping nursing home residents on hospice.  Mr. Gillman is also an agent and secretary of Asta Healthcare Inc., which operated the nursing homes in question .  According to the complaint, a high percentage (22 percent) of Asta nursing home residents received hospice services for more than six months.  In addition, the company is accused of unnecessarily elevating levels of care to general…

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No Magic Words Necessary: New Jersey Superior Court Rejects Formalistic Approach to Demand for Trial Following Arbitration

The Appellate Division of New Jersey Superior Court has held that insurance carriers need not explicitly demand a trial to nullify an arbitration award for uninsured motorist coverage.  In Vega v. 21st Century Insurance Co., the Appellate Division rejected the plaintiff’s contention that 21st Century’s failure to specifically state that they demanded a trial in their letter rejecting an arbitration award made the award binding. The case stems from the plaintiff’s claim that she was injured when her vehicle, which was insured…

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