Biomedical subjects

M H Nahra

Publications and source records attributed to M H Nahra.

3 recordsLinked to original sources

PubMed2001

Knowledge is payment: understanding state prompt-payment laws.

Faced with lagging receivables, hospitals across the country increasingly are suing delinquent payers to obtain payment. States have responded to the provider payment crisis by enacting and enforcing a rash of new laws requiring payers to pay claims within strict time frames or face steep penalties. To take advantage of the protection afforded by these laws, providers need to be aware of prompt-payment statutes in states in which they provide care, in which their patients live, and in which their payers are located. By becoming aware of their rights and obligations under these laws, providers can use the prompt-payment regulations proactively to avoid payment backlogs without resorting to litigation.

Accounts Payable and Receivable↗

PubMed1996

Managed care under siege: how an effective compliance program can protect your company.

This article discusses the current enforcement emphasis on managed care fraud and examines how managed care organizations can utilize compliance programs, including legal audits, to protect against unwarranted investigations and liability. The article reviews the elements of an effective compliance program, how to conduct an internal audit, and the risks and benefits of a voluntary disclosure in the event fraudulent activity is discovered.

Employee Performance Appraisal↗

PubMed1994

Fraud & abuse in managed care--what does it mean for home care providers?

Managed care and home care are both increasingly popular as market and regulatory forces push payors and providers to reduce costs. The reform initiatives that have given rise to the increase in both these services, however, have also increased scrutiny of fraud and abuse. What do home care providers need to be aware of to protect themselves?

Fraud↗