Claims adjuster

DAMAGES IN THE FORM OF PENALTIES Section 73 and 74 of the Indian Contracts Act, 1872 (referred as ICA, 1872 hereinafter) provide the basic structure for enforcement, non performance and breach of contract. This paper deals with provisions regarding “penalties” on breach of the contract by one of the parties. Since sections 73 and 74 of the ICA, 1872 talk about the damages to be awarded in the case of breach and such damages shall be predefined in the contract while drafting the same and such pre

Labor Law Whistle Blowing Dillema Labor relations today, are quite different from those that existed in England during the eighteenth and nineteenth centuries when employment relationships were considered of very little importance in the eyes of the law. Industrialization and commerce grew bringing with it the birth of modem day labor law. America was in no way exempt from the pain of progress. Employer and employee relationships were strained from the very beginning of labor, and it

that imposes liability on healthcare manufacturers is the False Claim Act also known as Lincoln Law. Initially, the law was applied to people who defraud federal programs but in the late 90s the Act commenced to be applied to frauds associated with the promotions of the healthcare goods. The first recognition of off-label promotion was made in 1996 when Franklin v. Parke-Davis lawsuit was filed. Dr. David Franklin filed the False Claim Act case based on his concerns on his former employer’s, pharmaceutical

Small claims court was established as an alternative dispute resolution forum. It is less expensive, faster and less formal than litigation. The increase in the jurisdictional limitations of Small Claims Courts have contributed to increase the caseloads in Small Claims, the popularity of the TV shows such as Judge Judy or Judge Brown also contributed to the caseload and peoples automatic action to fill cases. In order to clear the backlogs, in 1999 after a year of testing, Alberta Justice Minister

To many, the revealing of companies’ private information is an ethically reasonable action that deserves either less punishment than what it does today or no punishment at all. With some punishments for whistleblowing being ostracism, harassment, and demotion, people deem the amercements as unreasonable (Martin). These kinds of punishments are usually doled out to whistleblowers who work for large businesses, making their work environment more hostile and uncomfortable. Whistleblowers get themselves

administrators seem to miss these days is what is currently happening behind the scenes when their hospital’s doctors are filing claims. This issue is very important to address considering your healthcare staff could be filing claims illegally to the Center for Medicaid and Medicare (CMS), and be subjected to the False Claims Act (FCA). Administrators need to make sure claims are filed correctly and not for the benefit of the doctors own pocket. Healthcare providers need to take caution and be aware

largest settlement obtained for U.S. taxpayers in a case not joined by the Department of Justice, it established a new standard of accountability for pharmaceutical industry marketing practices, it broadened the use of the False Claims Act to include fraudulent marketing claims (not just financial fraud) as criminal violations of federal and state law, it revealed the involvement, complicity and active participation in fraud by many renowned physicians, and it demonstrated that the medical literature

SNITCHING FOR RICHES: WHISTLEBLOWER BOUNTIES AND THE $96 MILLION CHERYL ECKARD SETTLEMENT Introduction Bounties have been employed by United States government over the history of our Nation. As differentiated from rewards, which offer payment for accomplishment of a specific act such as providing information that leads to the capture of a particular criminal, bounties are tailored to encourage the services or actions by some class of persons in pursuance of a governmental purpose. One of the

* The False Claims Act During the civil war, the False Claims Act (FCA) was passed to prevent the fraud committed by companies that were selling supplies to the Union Army. The Act contained qui tam provisions which authorized citizens to speak out against those deceiving companies. The

The goal of this deception is to obtain a federal healthcare payment that would not otherwise exist. The provider, practice, or institution may falsely claim to have provided a service or used supplies for a patient when in reality neither the service nor the supplies were used. A secondary way to commit Medicare fraud involves referrals. If one solicits, pays, or accepts money to encourage referrals