CASE STUDY: HMO Medical Necessity
October 6, 2016 9:50 pmCASE BACKGROUND: A 16 year old student-athlete suffered a PCL grade 2 partial tear, has knee instability due to ligament... View Article
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Recent Action
CalPERS DENIES AUTHORIZED MEDICAL CARE FOR DECEASED MEMBER
September 23, 2016 9:54 am“Justice will not be served until those who are unaffected are as outraged as those who are.” – Benjamin Franklin... View Article
VHA CLAIMS PAYMENT BACKLOG CONTINUES: TIME IS OF THE ESSENCE
March 10, 2016 6:22 pmNever leave that till tomorrow which you can do today. Benjamin Franklin. One of the most exposed issues within... View Article
DO IT….OR ELSE: WHY IS THE VETERANS HEALTH ADMINISTRATION REQUIRING AMBULANCE PROVIDERS TO SUBMIT HOSPITAL RECORDS?
January 6, 2016 7:22 pmAs we express our gratitude, we must never forget that the highest appreciation is not to utter words, but to... View Article
FOR IMMEDIATE RELEASE: NON-PANELED CCS DENIALS
December 29, 2014 1:00 pmCypress, CA, December 29, 2014 – Through our regulatory representation and continuous monitoring for rising trends, it has become apparent... View Article
(PRESS RELEASE UPDATE) DELAY, DENY, UNTIL I DIE: The waiting room is the new combat zone.
June 18, 2014 12:00 pmScandal, controversy and problems at the VA have existed for years. The FBI is now involved in a criminal investigation... View Article
DELAY, DENY, UNTIL I DIE
May 26, 2014 11:00 amVA denies representation rights to ninety veterans and their emergency safety net providers. We’ve not just let them down, we’ve... View Article