Jamaal Jones will be returning to the University of Tennessee (UTK) this fall to teach Health Law Compliance. Jamaal is excited to continue sharing his experience and insight with the next generation of healthcare professionals and legal leaders. #HealthLaw #HealthcareCompliance #LegalEducation #UTK #AdjunctProfessor
The post Back to the Classroom: Jamaal Jones Returns to the University of Tennessee first appeared on…

By: Pearl Walia What is ERISA in Simple Terms? ERISA, the Employee Retirement Income Security Act of 1974, is a federal law that establishes standards for most employer-sponsored retirement and health benefit plans in order to protect employees’ retirement assets. Before ERISA, employers often mishandled funds and failed to deliver promised benefits, leaving workers vulnerable to arbitrary coverage denials. In…

By: Pearl Walia Healthcare providers routinely face claim denials from payers, but not all denials are the same. Understanding their differences is critical to effectively manage revenue cycle operations. A clinical denial occurs when a payer determines that a medical service, procedure, treatment, or admission does not meet its coverage requirements. Clinical denials differ from administrative denials, which typically result…

By: Pearl Walia Changes in politics, public policy, and economic conditions continue to influence contract negotiations between healthcare payers and providers. Shifts in reimbursement legislation, regulatory requirements, Medicaid eligibility rules, and compliance obligations all affect how parties evaluate contractual provisions. As a result, payer disputes remain a persistent and significant challenge across the healthcare industry. Payers include health insurance companies…

Jamaal Jones, Esq. was recently featured on The Free Lawyer Podcast, where they discussed Jamaal’s professional journey, insights into the legal industry, and the values that continue to guide our firm’s work. Listen now on Apple Podcast and Spotify
The post In the Spotlight: Jamaal Jones Joins Gary Miles on The Free Lawyer Podcast first appeared on Jones Health Law,

By: Pearl Walia Revenue Cycle Management and the Current Landscape of Lost Revenue Revenue cycle management (RCM) refers to the financial process used by healthcare organizations to track and collect incoming patients, and encompasses the entire revenue lifecycle: from the initial patient scheduling to the final payment collection. Deficiencies in an organization’s RCM processes such as timeliness, accuracy and missing…

By: Pearl Walia An Income Guarantee Agreement is a type of forgivable loan provided by a hospital to a physician who is newly entering practice. Under this agreement, the hospital offers financial support to help the physician establish their practice within the community. If the physician makes the guaranteed amount under the agreement and continues to practice in the community…