Monday 30 July 2012

In new effort to tackle health care fraud, government and insurers to scrutinize claims data-livejournal-blogger


http://springhillcaregrouptiffanyjohnson.blogspot.com/2012/07/in-new-effort-to-tackle-health-care.html



WASHINGTON — The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses.

Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership “puts criminals on notice that we will find them and stop them,” while Attorney General Eric Holder called it “a critical step forward” against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies.

Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud. The agreement is also unusual because it brings the Obama administration and longtime foes in the insurance industry together to tackle a common problem.

While carrying out the requirements of President Barack Obama’s health care overhaul law, insurers are also lobbying to roll back some of its provisions, such as new taxes on the industry and cuts to private plans offered through

Medicare. Obama continues to rail against industry “abuses.” Fraud is estimated to cost Medicare about $60 billion a year, and the Obama administration has beefed up the government’s efforts to stop it, bringing in record settlements with drug companies for marketing violations as well as using new powers in the health care law to pursue low-level fraudsters with greater zeal.

Feds: Crestwood chiropractic center padded patient bills-livejournal-blogger


http://springhillcaregrouptiffanyjohnson.blogspot.com/2012/07/feds-crestwood-chiropractic-center.html


ST. LOUIS • A Crestwood chiropractic center, the chiropractor and an  employee have been indicted for billing insurance companies for work  that was never done, federal prosecutors said Wednesday. Dr. Anthony Calandro, 55, of Chesterfield, and his billing assistant,  Sherry Rueter, 62, of St. Louis County, billed insurance companies for X- rays that were never taken and appointments that had been canceled or
missed, prosecutors said. The charges are the result of two undercover  investigations in 2010 and 2011, they said. Calandro, Rueter and the Chiropractic Accident Centre each face one  felony count of health care fraud and four felony counts of making false  statements related to health care services. "Dr. Calandro has been working diligently with the federal authorities to  address reconciliation of the billing issues and will continue to do so  despite the indictment," said Albert Watkins, Calandro's attorney.

Friday 20 July 2012

Morsi as Democratic Egypt’s Leader


http://news.springhillcaregroup.net/category/world-news/


Egypt’s new president Mohamed Morsi is reconsidering the peace agreement with Israel and ties with Iran in an attempt to build a strategic balance in the region.

Morsi was quick to announce that all issues will be addressed by governmental bodies as he will not make decisions on his own, according to Springhill Group Home.

“Part of my agenda is the development of ties between Iran and Egypt that will create a strategic balance in the region.”

Morsi has convened with his advisors to form a new Cabinet prior to his swearing-in on Saturday as the first freely-elected leader. On the other hand, the defeated candidate Ahmed Shafik was found to have left the Egypt in the midst of mounting fraud charges against him since his time as the nation’s civil aviation minister.

The Muslim Brotherhood’s candidate has pledged to become a leader for all Egyptians.

“I will be a president for all Egyptians. I call on you, great people of Egypt… to strengthen our national unity — the only way out of these difficult times,” Morsi said hours following his being declared the new president.

Egypt has breathed a collected sigh of relief when the election and proclamation have finished without the feared bloodshed. Morsi’s triumph, also marking Egypt’s first fair and free election in the modern times, followed almost 2 years of political upheavel and civil unrest from Hosni Mubarak’s military-rule.

Britain, France, US and the European Union have deemed the democratic election and the winning civilian president as significant parts of Egypt’s history. The US in particular has encouraged Morsi to continue Egypt’s transition to democracy that began last year.

However, even if Morsi has already resigned from the Muslim Brotherhood of Egypt when he was elected, Israel is still worried of him for his Islam affiliations that could possibly endanger the peace of the two neighboring nations. And although the foreign ministry of Iran has acknowledged Morsi’s win, there is no hint of diplomatic relationship resumption on their side.

A former head of the Muslim Brotherhood’s Freedom and Justice Party and a former member of Egypt’s parliament won against Hosni Mubarak’s Prime Minister Ahmed Shafik by a 4% margin.

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http://springhillcaregroup.net/about-us


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Monday 16 July 2012

springhill group south korea, springhill group: Learn what a CFE can do for you - The-looser-it-s-me

springhill group south korea, springhill group: Learn what a CFE can do for you - The-looser-it-s-me


In today’s economic climate, who will help you protect your company and your clients from the devastating impact of fraud?
Fraud can creep into your business in a number of ways.
You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution.
A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to:
• Investigate allegations against one of your employees
• Recommend strong anti-fraud internal controls
• Conduct interviews related to sensitive issues
• Provide assistance with financial dispute resolution
• Resolve irregularities discovered during your company’s audit
• Provide expert testimony on financial and investigative matters
A Unique Set of Skills
Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud.
CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution.
CFEs are knowledgeable in four areas critical to the fight against fraud:
• Fraudulent Financial Transactions
• Criminology & Ethics
• Legal Elements of Fraud
• Fraud Investigation
Reduce Fraud Risks and Costs
Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud.

Upcoming auditions at the Boiler Room, Pull-Tight and more - The-looser-it-s-me

Upcoming auditions at the Boiler Room, Pull-Tight and more - The-looser-it-s-me


There will be an open call for the Brighton Beach Memoirs at the Boiler Room

Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike

their usual by-appointment audition process, all auditionees need to attend the

open call at 2 PM.  Actors will read from the script in groups; no need to

prepare any audition material. Call backs will be held the same day. Bring (2)

copies each of your headshot and resume. The show is scheduled to run My 7th

through the 29th.
For audition questions, call 615-794-7744.

Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday,

April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles

available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men

age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or

women of any age.

Auditions will consist of readings from the script.
For more information, please contact director Alan Mancuso directly at 708-

6288 (cell) or 794-4045 (home).
Actors, reenactors and muscians are desired for a Performance Reading of

Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held

Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be

held Monday 7-8:30 PM. Daytime auditions may be by appointment.
The auditions will be held at the Heron Center, located at the Tennessee

Children’s Home (TCH) at 5350 Main Street Spring Hill. 12 men and 7 women

ages 18 to 60+.
Rehearsals begin after Easter. Performances are scheduled for May 6-8.
Scathe is a play with music to be performed as an Outdoor Historical Drama. It

concerns the civil war, a love triangle, conspiracy and murder. There is no pay

but performers will receive a copy of the performance for their portfolio.
For more information contact Deanne Collins at deannemcollins@bellsouth.net.

springhill group south korea, springhill group: Learn what a CFE can do for you

http://www.valueinvestingnews.com/springhill-group-south-korea-springhill-group-learn-what-cfe?destination=node%2F39161


In today’s economic climate, who will help you protect your company and your clients from the devastating impact of fraud?
Fraud can creep into your business in a number of ways.
You may find you need an objective expert to deter potential problems, investigate allegations or provide resolution.
A Certified Fraud Examiner (CFE) offers anti-fraud knowledge and skills you need to:
• Investigate allegations against one of your employees
• Recommend strong anti-fraud internal controls
• Conduct interviews related to sensitive issues
• Provide assistance with financial dispute resolution
• Resolve irregularities discovered during your company’s audit
• Provide expert testimony on financial and investigative matters
A Unique Set of Skills
Fraud Examiners have a unique set of skills that are not found in any other discipline; they combine knowledge of complex financial transactions with an understanding of law, criminology, investigation and how to resolve allegations of fraud.
CFEs work in a variety of disciplines including accounting, auditing, fraud investigation and security, as well as in different industry segments including government, healthcare, financial services, manufacturing and retail distribution.
CFEs are knowledgeable in four areas critical to the fight against fraud:
• Fraudulent Financial Transactions
• Criminology & Ethics
• Legal Elements of Fraud
• Fraud Investigation
Reduce Fraud Risks and Costs
Heightened fraud awareness, combined with new laws and regulations, has increased the already growing demand in the workforce for professionals who are highly skilled at deterring, detecting and investigating fraud.
CFEs have the ability to:
• Identify and reduce opportunities for fraud
• Implement effective anti-fraud controls
• Continuously improve anti-fraud measures based on new risks and technologies
• Educate employees to deter fraud and report wrongdoing
• Resolve allegations or suspicions of fraud
• Assist in the recovery of fraud losses
Experience and Integrity
The standards for CFE certification are set by the ACFE’s Board of Regents, who are elected by CFE members and drawn from the most experienced members of the profession. CFE candidates must hold a Bachelor’s degree from an accredited institution and posses two or more years of professional experience in a field related to fraud deterrence and detection.
The CFE Exam is a rigorous process, testing the knowledge of candidates in all areas of fraud examination. CFEs are required to acquire at least 20 credit hours of continuing professional education each year to ensure that they remain informed, empowered and educated.
Code of Ethics
As leaders who inspire public confidence in the integrity and objectivity of the profession, CFEs adhere to the Certified Fraud Examiners Code of Professional ethics.
The code includes:
• Commitment to professionalism
• Diligence in performance
• Avoidance of conflict of interest
• Testifying truthfully and without bias or prejudice
• Complete confidentiality
• Revelation of all material matters discovered during an examination
• Continued effort to increase the competence and effectiveness of professional services performed under his or her direction

Upcoming auditions at the Boiler Room, Pull-Tight and more

http://www.dailymotion.com/video/xr07qn_springhill-group_news


There will be an open call for the Brighton Beach Memoirs at the Boiler Room

Theatre (230 Franklin Rd., Bldg Six, Franklin) on March 21st at 2 PM. Unlike

their usual by-appointment audition process, all auditionees need to attend the

open call at 2 PM.  Actors will read from the script in groups; no need to

prepare any audition material. Call backs will be held the same day. Bring (2)

copies each of your headshot and resume. The show is scheduled to run My 7th

through the 29th.
For audition questions, call 615-794-7744.

Auditions for Pull-Tight's Father of the Bride will be held Sunday and Monday,

April 11 and 12 at 7:00 pm at the Pull-Tight Theatre. There are 13 roles

available. 1 man age 40-55, 3 women age 40-55, 2 women age 18-25, 2 men

age 18-25, and 2 boys age 12-15. There are additional smaller roles for men or

women of any age.

Auditions will consist of readings from the script.
For more information, please contact director Alan Mancuso directly at 708-

6288 (cell) or 794-4045 (home).
Actors, reenactors and muscians are desired for a Performance Reading of

Scathe: A Civil War Incident in Spring Hill, Tennessee. Auditions will be held

Friday, March 19, 7-9 PM and Saturday, March 20, 9-11 PM. Call Backs will be

held Monday 7-8:30 PM. Daytime auditions may be by appointment.
The auditions will be held at the Heron Center, located at the Tennessee

Children’s Home (TCH) at 5350 Main Street Spring Hill. 12 men and 7 women

ages 18 to 60+.
Rehearsals begin after Easter. Performances are scheduled for May 6-8.
Scathe is a play with music to be performed as an Outdoor Historical Drama. It

concerns the civil war, a love triangle, conspiracy and murder. There is no pay

but performers will receive a copy of the performance for their portfolio.
For more information contact Deanne Collins at deannemcollins@bellsouth.net.