October 23, 2023 | The Legal Intelligencer
Newer Data Sources Present Opportunities and Challenges for Litigation SupportToday, most documents—even if initially received in physical, hard-copy format—are stored electronically with sophisticated electronic document storage warehouses, which provide the ability to easily search document text and metadata. Despite these advancements in technology, the document review process may still be time-consuming.
By David H. Glusman, Neil Young and Jesse J. LaGrossa
6 minute read
September 06, 2023 | The Legal Intelligencer
Data Tools in Litigation Support Miss Crucial DetailsThe shift toward "summary" data analytics may present divergent trends: the "overlooking" of potentially relevant data points and the lack of transaction-level, detailed analysis more frequently relied upon in days past.
By David H. Glusman, Thomas W. Reinke and Jesse J. LaGrossa
6 minute read
September 09, 2022 | The Legal Intelligencer
Litigation's Nemesis: Dirty Data Presents Complex ChallengesDirty data often presents complex challenges in litigation cases. The transformation to a digital and cloud-based world is significantly impacting the accuracy and volume of data, as well as the way it is captured and stored. It is also contributing to an increase in "dirty data."
By David H. Glusman and Tom Reinke
5 minute read
December 21, 2021 | The Legal Intelligencer
Adding Value and Performance to Health Care Billing ContractsHealth care attorneys can facilitate the best outcomes and protect their clients by focusing on performance measures and billing responsibilities in their billing clauses. This will also facilitate legal representation if things go wrong and litigation is required.
By David H. Glusman and Tom Reinke
7 minute read
September 13, 2021 | The Legal Intelligencer
Health Care and Standards of Value in Contracts and LitigationThere are other standards of value (and valuation approaches) that are relevant for many business transactions, situations, and disputes in the health care industry, but are not governed by the AKS and Stark.
By David H. Glusman and Thomas Reinke
6 minute read
June 20, 2019 | The Legal Intelligencer
Issues in Corporate Integrity Agreements in Health Care Fraud and AbuseIn the first 24 days of May, the Office of Inspector General (OIG) of the Department of Health and Human Services announced 35 criminal and civil fraud settlements with Medicare and Medicaid providers.
By David H. Glusman
6 minute read
October 20, 2016 | The Legal Intelligencer
Physician Billing Returns to the Medicare Fraud SpotlightTwo recent Department of Justice settlements with health care providers shine a new spotlight on a long-standing risk for health care fraud and abuse.
By David H. Glusman
12 minute read
January 06, 2016 | The Legal Intelligencer
Payment Models Dictate New Physician Compensation ArrangementsIt is no secret that CMS (Centers for Medicare and Medicaid Services) and private payers are determined to replace health care's volume-oriented fee-for-service payment system with alternatives aimed at promoting quality and value. What is surprising is the momentum that CMS has developed to affect change, as it moves aggressively to implement new payment models.
By David H. Glusman
6 minute read
January 06, 2016 | The Legal Intelligencer
Payment Models Dictate New Physician Compensation ArrangementsIt is no secret that CMS (Centers for Medicare and Medicaid Services) and private payers are determined to replace health care's volume-oriented fee-for-service payment system with alternatives aimed at promoting quality and value. What is surprising is the momentum that CMS has developed to affect change, as it moves aggressively to implement new payment models.
By David H. Glusman
6 minute read
October 29, 2015 | The Legal Intelligencer
Federal Government Expands Health Care Anti-Fraud EffortsThe federal government is expanding its health care fraud efforts on both the criminal and civil sides, signaling a much more aggressive effort to pursue actions under the False Claims Act and the federal Anti-Kickback Statute.
By David H. Glusman and Thomas W. Reinke
6 minute read