I cannot bill for Masshealth because my practice location is over 50 miles from the state. I want to know if it is legal to charge self-pay (cash) to Medicaid beneficiaries in MA, if the patient agrees to do so.
I'm not positive about Medicaid. She receives $1500.00/mo from separated spouse & $200.00/mo in socal security. She has no other assets...Until...a sister died & has left her an inheritance of $200,000.00+.
She has 8 children. Our questions are, if she stays in the nursing... View More 
answered on Apr 26, 2022
If her mental status is in doubt then there should be a Conservator appointed by the Probae Court where mother resides to handle her finances and also a Guardian to handle her care if there are not agents under a Power of Attorney and Health Care Proxy granted authority to act by her prior to... View More
The administrator had us working with no PPE and we all got covid. I still work at the place but people are suing the company. Would I be fired if I joined the lawsuit.
answered on Aug 29, 2021
This is a Workers Compensation question. My specialty is nursing home abuse litigation. Since you were injured in the course and scope of your employment, seek out a Work Comp lawyer. Best of luck.
violation at the very least, since these are employees of staffing agencies, who are the real "covered entities" here. They supply the WC insurance, payroll, are the holders of their personnel records, etc. They also almost all have provisions written into their contracts that state... View More
answered on Dec 29, 2020
The employer can communicate directly with the temp employment agency that supplied the employees of the employer's requirement that the temp employees obtain and pass a DOT physical. It is, likely, not appropriate for the employer to communicate this need directly to contracted employees... View More
Nothing has changed. She still has the same insurance. I was notified this year that they will no longer be carrying ex spouses. All the laws state that they must cover me.
answered on Oct 16, 2020
Sounds like she is subjecting herself to a Contempt Complaint. Please review your separation agreement for what her obligations are and if all conditions are met and start first with a courteous explanatory letter indicating the Contempt if she removes your coverage. Your damages could well... View More
My daughter's father is falsely accusing me of using drugs and/or improperly using drugs. He's requesting I take a hair follicle test but I have evidence to prove that. How would I go about filing for slander, disobeying court orders and being falsely accused? Also, I entered a... View More
answered on Mar 12, 2020
Usually random drug screens through the Court's probation department provider would be ordered where there is such an accusation. If you are willing to do so you can also ask the Court to have father so screened. The focus should be on establishing that you are not abusing drugs and are able... View More
I had emergency surgery and they filed a claim, 3 months later they canceled my policy due to not verifying my address and then sent me a letter requesting correct information for the claims filed and to help them figure out how the claims can be paid correctly? im trying to respond on their online... View More
answered on Nov 30, 2019
Your matter is more complicated than one where a simple "yes" or "no" would do as a answer. The ideal situation would be that if your settlement is in connection with an accident where you are represented by an attorney, to have them look into the validity of the lien for an... View More
I am legally blind and my husband needs to go into a nursing home due to a stroke. We own our house, Is there any way we can use the equity to pay nursing home costs. I am 86; he is 87
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answered on Nov 13, 2019
You REALLY should schedule a consultation with an elder law attorney. You might be eligible to have the government pay for his nursing home costs WITHOUT having to sell the house.
Yes I am disabled, on hemodialysis, and get palliative care services. My house will be closing on Wednesday. I will be getting about $150,000 (that's the gain). What federal/state assistance programs will be affected by this gain of money? Is there any legal way around it or to avoid losing... View More
answered on May 21, 2019
You have not stated whether you are disabled . If so, there is a special needs trust you can explore.
My health was used multiple times for ambulance rides, hospital and doctors visits. Now, I need help to rectify the damage done to my credit and medical records
answered on May 16, 2019
Contact your health insurance carrier without delay to notify them of the security breach. If you receive bills for co-payments or other uncovered charges, contact the entities doing the billing (hospitals, physicians, ambulance services, etc.) and coordinate with your insurance carrier to... View More
Son lives in a different state and does not communicate with me. Thank you so much!
answered on Apr 4, 2019
It depends. If you have a divorce agreement or court order that states you shall keep him on your health insurance so long as he is eligible, you would not be able to remove him without court approval.
My doctor ordered a cologuard test for me.
He knew what health insurance I had.
He did not inform me that the test was not covered by insurance.
The lab sent me a bill.
My insurance company said it was the lab’s responsibility to check that they took my insurance... View More
answered on Jan 14, 2018
Unfortunately, from what information you gave you would be responsible for the bill.
answered on Dec 4, 2017
If you are speaking of state requirements for CNAs, here is a starting point: https://www.mass.gov/service-details/nurse-aide-registry-program
I do not want the nursing home going after the house.
answered on Sep 26, 2017
I assume the title is as joint tenants. Until your mother dies you both own the home. The fact she temporarily is not living there does not mean you own the home. Assuming your title is as joint tenants, when your mother passes you record her death certificate and at that point the sole title to... View More
I am 98.5 yrs old, visually impaired, and wish to have my daughter, who is a clinician make all medical decisions for me. I have executed a health care proxy and durable P.O.A., but they only are activated if I am unconscious or not intact mentally.
answered on Apr 26, 2017
MANY states require this be a 'springing' authority so that you have the 'final say' in any decision if you are capable of doing that. I'm not sure about MA but Michigan certainly does.
HOWEVER, if you are competent, you ALWAYS (in any state) have the option of... View More
answered on Mar 27, 2017
As in requiring a public school to set up a special church for you to study in? No, that would violate the Establishment Clause. More details are necessary to provide a professional analysis of your issue. The best first step is an Initial Consultation with an Attorney. You can read more about me,... View More
School released educational and medical info of a student to an outside neurologist without parent or student consent
answered on Mar 11, 2017
Was this release ordered by a court? Why did the release occur? More details are necessary to provide a professional analysis of your issue. The best first step is an Initial Consultation with an Attorney. You can read more about me, my credentials, awards, honors, testimonials, and media... View More
Here is my situation:
• I came to an orthopedic doctor complaining of pain in the heel of my foot
• Doctor said: "This is plantar fasciitis. Go to physical therapy. If it does not help, see me again and I do the X-ray."
The visit lasted 2 minutes; the doctor... View More
answered on Dec 12, 2016
You can certainly file a complaint with the state's medical board. If you don't pay, the doctor might send your case to collections and damage your credit, so take that into consideration. You may have to do a lot of legal fighting in court to sort this out with the doctor's office... View More
By my insurance co. They claim his billing co screwed up, he is trying to blame my pcp. Either way he says he will discharge me if i dont get it fixed or pay it myself (ins co says i have zero liability) i do not want to go see another dr, massachusetts has been tough on pain patients recently and... View More
answered on Sep 20, 2016
Contact the insurance commissioner. You can't force the doctor to see you. It's on you to resolve it. Insurance company is correct except that you have probably signed a paper with the doctor that says that you are ultimately responsible to pay.
Find out from the insurance what... View More
He went to 195 canal st. malden,ma cambridge health alliance! He went there initially for anxiety and depression. He thought he was going to see a therapist, instead they gave him clonodine and gabapentin and they also wanted to give him serequal but he said he didnt want it. He wanted to see a... View More
answered on Jun 25, 2016
The HIPAA violation is not insignificant but has no real remedy. The big question is did they take an adequate profile, did they schedule him for appropriate liver screenings on an appropriate time table, who prescirbed and under what conditions of information. I suggest you contact a member of the... View More
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