Under the Knox-Keene Act, healthcare service plans must reimburse hospitals for emergency medical services to their enrollees based on either an agreed-upon contractual rate or the “reasonable and customary value” of the services. Read more
MICRA limitations period bars personal injury action claiming patient fell because ER nurses negligently failed to accompany her to the restroom. Read more
Federally qualified health center must report nonreimbursable costs that “materially” relate to clinic operations to allocate overhead costs. Read more
Proper patient referral disclosures do not excuse noncompliance with worker’s compensation statute prohibiting a physician’s financially interested referrals Read more