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Yours, mine and ours: court reiterates need for proper internal investigation employee warning

USA - April 30 2009 Since the 1981 Supreme Court decision in Upjohn Co. v. United States, it has been common practice for counsel conducting internal investigations to provide witnesses, including company employees, with "Upjohn warnings" or "Corporate Miranda warnings" to ensure that the witnesses understand no attorney-client privilege exists between the witnesses and the interviewing attorney.

Robert M. Wolin.

CMS provides guidance for amending patient medical records

USA - January 10 2013 CMS recently released a transmittal providing instructions to contractors on acceptable methods for providers to amend, correct and incorporate delayed…

Robert M. Wolin.

The 2017 Exchange Regulations: Network Adequacy Challenges Remain

USA - March 10 2016 The Centers for Medicare and Medicaid Services (CMS) recently issued the final 2017 Benefit and Payment Parameters Rule (Final Rule) and concurrently…

Susan Feigin Harris.

Insurer sues out-of-network hospitals for waiving patient's out-of-pocket expenses

USA - June 11 2009 Horizon Blue Cross Blue Shield of New Jersey (Horizon) filed separate lawsuits against two out-of-network hospital providers, claiming that both providers were waiving the coinsurance, deductibles and other out-of-pocket expenses that patients were contractually required to pay for out-of-network providers.

Robert M. Wolin.

Is it a violation to help?

USA - May 30 2014 In a May 21, 2014, letter to the President of the American Hospital Association (AHA), U.S. Department of Health and Human Services (HHS) Secretary…

Susan Feigin Harris.