Iowa Medical Society
www.iowamedical.org

Office of Legal Affairs

The Office of Legal Affairs provides information to member physicians about Board of Medical Examiner activities, third-party payors, HIPAA, EMTALA and other issues that impact the practice of medicine. This information is not intended to serve as legal advice.

Insurance Division examines "medical necessity" denials

The Iowa Insurance Division (IID) has begun an examination of Iowa's law and regulations allowing patients and their physicians to file for an external review of a health plan's final decision to deny payment for a medical service deemed to be medically...

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Checks soon to issue in the BCBS national class action case

Appeals in the Love multidistrict class action litigation by physicians against over 90% of the nation’s Blues plans (including Wellmark) have been finalized, clearing the way for the issuance of settlement checks to doctors who filed proof of claim...

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AMA partners with AAPPO on contracting toolkit

To help physicians, preferred provider networks and payers develop a common understanding during contracting discussions, the American Association of Preferred Provider Organizations (AAPPO) and the AMA have partnered to...

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IMS comments on retrospective payment rule

Iowa Code section 514F.6, passed by the 2008 General Assembly and effective on July 1, 2008, requires health plans to retroactively pay for covered medical services provided...

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AMA claims victory with settlement against insurer

The American Medical Association (AMA), along with the Medical Society of the State of New York and the Missouri State Medical Association, claims victory with the settlement...

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Vaccinations in pharmacies under regulatory review

Many questions have arisen regarding the legalities of pharmacists administering vaccines in the pharmacy. The "Legalease" article in the May/June 2008 issue of Iowa Medicine...

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Payout pending in BCBS settlement

Several provisions in the national Blue Cross Blue Shield settlement have taken effect after a final order by the federal court in Miami. The settlements are designed to curb contentious business...

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Iowa Court of Appeals Rules

The Iowa Court of Appeals, the state's intermediate appellate court, recently issued an opinion holding that a statement of charges issued by the Iowa Board of Medicine (IBM) against a physician licensee, including a short plain statement...

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