F.J. Thomas has worked in healthcare business for more than fifteen years in Tennessee. Her experience as a contract appeals analyst has given her an intimate grasp of the inner workings of both the provider and insurance world. Knowing first hand that the industry is constantly changing, she strives to find resources and information you can use.

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OIG Audit Finds Majority OF Providers Using Eligibility Checks Inappropriately

• 02/17/20

Sarasota, FL (WorkersCompensation.com) – The Centers for Medicare and Medicaid Services requested an audit of a mail order pharmacy’s Medicare Part D eligibility verification transactions from ...
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Bipartisan Group of Lawmakers Asks CMS To Explain Reimbursement Cuts

• 02/13/20

Washington, DC (WorkersCompensation.com) – Implementations of service caps and multiple therapy reductions, along with reductions to reimbursement rates of high volume codes in recent years have hit ...
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Study Shows Training Key To Employee Satisfaction

• 02/10/20

Sarasota, FL (WorkersCompensation.com) – Providing adequate training for employees is a key element in workplace safety. According to a 2019 study done by global market research firm Ipsos for learning ...
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Orthopedic Surgeon Files Lawsuit Citing Forced Referrals

• 02/06/20

Orlando, FL (WorkersCompensation.com) – A Florida-based orthopedic surgeon has filed a lawsuit against Orlando Health and three of its affiliates citing alleged violations of the Stark Law, according ...
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Woman Mistaken for Whistleblower Was Shot and Killed

• 02/03/20

Baltimore, MD (WorkersCompensation.com) – Being a whistleblower in a healthcare fraud case can be deadly according to a recent report from the Department of Justice (DOJ). Last week, the DOJ announced ...
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Typo May Cost $300K

• 01/30/20

Texarkana, TX (WorkersCompensation.com) - It seems that written mistakes are costly, as once again money is on the line due to a typo. Post Acute Medical Squared at Texarkana LLC (PAM Squared) may be awarded ...
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Data Breach At Michigan Hospital As Worker Steals Patient Data

• 01/29/20

Dearborn, MI (WorkersCompensation.com) – More than 1,200 patients have reportedly been impacted by a data breach that occurred at Beaumont Health. The violation, discovered on December 10th 2019, ...
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Study Shows Timing Of Knee Replacement Critical To Outcome

• 01/23/20

Chicago, IL (WorkersCompenstion.com) – The best outcome for an injured worker having a knee replacement is largely dependent on when the surgery occurs, according to a study from Chicago’s ...
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Texas Physician Found Guilty Of $325M Fraud Involving Heinous Treatment of Patients

• 01/20/20

Houston, TX  (WorkersCompenstion.com) –The Department Of Justice announced the outcome of a case that has had the medical community in shock. Jorge Zamora-Quezada, M.D., a 63 year old ...
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