Monday, March 30, 2015

Pursuing Economic Crime Degree and Knowing about the Course

It is believed that money is root cause of every evil. It surely has that kind of appeal. Some people do not think twice about committing any kind of crime, hurting others, breaking the law and many more. When we experience fluctuations in our economy, the economic crime rate grows. In our day to day life we hear different types of crime happening which are becoming more common.


Money has, every now and then, proved to be a powerful motivator which has been a primary force for committing a crime. And, that is why crime prevention is of the utmost importance. How can you help? Enrolling in a degree program that earns you an economic crime degree is a great way to start preventing crime and helping your community. To pursue an economic crime degree, the bachelor’s degree is the stepping stone into the world of prosecuting of such crimes. Through this degree program you will learn various aspects of spotting and preventing economic crimes, along with filling in the gaps of the judicial system that often go overlooked.


About Economic Crime: These programs are developed in a way that makes the students understand economic crime and its psychology. This exceedingly focused coursework comprises of the classes like criminal justice, economic crimes, sociology and other relevant topics that helps students prepare for their career. Hunting down criminals requires knowledge of legal procedures as well as the know-how to use the same technology criminals is using to dupe their victims. All of which is covered in the degree program’s coursework.


What It Offers: The economic crime degree program will provide students with the expertise and the know-how to navigate the judicial system and help in the prosecution of these crimes. This program is equipped to train a new era of investigators. The professionals studying this program will be gaining an in-depth training and learning about economic crime.


Career Prospective: Professionals who have earned an economic crime degree are most likely to get employed in law enforcement. The job duties are varied depending upon the department you are placed in, though the basic job responsibilities will include gathering of evidences and researching the case to condemn the guilty.


 


Learn More About Callagy Law Here:


Avvo


Vine


Pinterest


Indeed


Yelp


LawNearMe


Wikipedia


Website



Pursuing Economic Crime Degree and Knowing about the Course

Friday, March 27, 2015

How to be a Successful Corporate Lawyer?

To be a successful corporate lawyer talent and experience will lead you to that position. He is one who is more specialized in the corporation laws. There are specific laws for each and every different aspect like women, child, crime, consumer rights, and many more things. The corporation is also one such department. When a lawyer takes any one of such departments he could succeed well there.


In that sense being a corporate lawyer is a good option. To become a corporate lawyer one need to be certified. One can take up a private practice and can stand for many private concerns.  In some cases a corporate lawyer may concern just with a single company. Generally a corporate lawyer would be providing legal assistance to the employees and the employers. That may include enforcement of new acts and policies, tax issues, labor laws, patents, contract issues, benefits to the workers etc.


If one wishes to expand his knowledge and needs to get more scope, then he could go for a master’s program. Then he should also have passed the state bar exam. Only after completing this one can hold a practice in the state. In some places it is also required for the lawyer to pass in the ethics exam.


The difficult thing here is that if one has passed the bar exam in one state he can work as a corporate lawyer only in that state if he plans to be with an organization. In other states he can just hold a private practice. If he needs to work with an organization in another state then he need to be passed with the bar exam in that state. Sometimes a corporate lawyer is also merged with the divorce cases, writing wills, real estate problems etc. The function differs with the area where the corporate lawyer lives in.



How to be a Successful Corporate Lawyer?

Wednesday, March 25, 2015

Failing Our Veterans in Their Time of Need

thankyouWe ask them to commit to extraordinary training, grueling physical and mental conditioning, to go off to a distant land, to face the challenges of foreign languages and alien cultures, and to face enemies who make the brutality of the medieval world look like child’s play.  They do these things voluntarily with little reward and grave risk, because it is their country’s time of need, it is our time of need.  Often—more often than not—and far too often—when they return home, the circumstances evince that it is their time of need.  The question for us becomes whether we will rise to the occasion of their need.  Despite no risk of mortal danger, or any danger for that matter, no potential disruption to our lives, no call to endure grueling training, we fail.


 


There has been a tremendous amount of media exposure lately about the Veteran’s Administration (VA).  The VA’s failures have been numerous, despicable, heartbreaking, inexcusable, and worthy of every negative adjective anyone could enunciate.  It is beyond insulting that our servicemen and women would be subjected to undue delays—deliberate or otherwise—to failures in obtaining appointments, test results and medical records, to hospital records being manipulated to conceal massive amounts of mistreatment.  The dozens of deaths that have resulted are bad enough, but only slightly less tragic is the travesty of the painful and unnecessary inconveniences we so cavalierly foist upon those who have risen to the occasion of our needs.  Even if there were no deaths, the delays alone are unjust and inexcusable.


 


Why do we have a VA?  Is it working?  Is there a more effective alternative?  I am sure its creation was with all the best intentions, but is it even necessary or worthwhile?  Without reviewing the governmental press releases at the time the VA was announced, and without researching the legislative history behind its formation, I could readily imagine the tone of it.  It probably went something like the following:


 


These honorable Americans deserve to be treated with respect and the utmost care our country can give. We need to ensure that no veteran is forgotten or ignored.  And so, we have created the VA, an organization dedicated exclusively to the medical care of our veterans, who served us in our time of need, and whom now we will serve in theirs.


 


Boy!  What a miserable failure on our part.  How about this?  Rather than have a governmental bureaucracy—with all of the inefficiency, corruption and insensitivity the government usually brings to bear on things—why not issue all veterans a VA health care card, which automatically entitles them to health care, paid for by the VA, from any health care provider of their choosing.  No VA hospitals. Veterans can go to any doctor, any hospital, receive any treatment. The VA’s sole function would be to ensure that the treatment was indeed rendered to a veteran, and that the system is not being abused unnecessarily. Insurance carriers perform similar functions each and every day.  Without doing an extensive cost analysis, my guess is it would not be much more expensive than the VA costs us today, but even if it were more costly, it would be a small price to pay in order to rise to the occasion of the needs of our veterans, who so readily rose to the occasions of our needs.


 


God Bless America and God bless all those who have served and continue to serve to keep current and future generations safe and free!



Failing Our Veterans in Their Time of Need

Friday, March 13, 2015

Handicapped

While grocery shopping this past weekend, I had the pleasure of being served by a young girl who was the bagger for my groceries.  She clearly had some condition—hard to say if it was on the autism spectrum or some other diagnosis—but she was incredibly sweet, friendly, accommodating, and she did a great job bagging my groceries.  I am sure she did not view herself as handicapped, and it occurred to me that because she did not view herself as handicapped, she wasn’t. It dawned on me that we are all handicapped and we are all not handicapped.


Being “handicapped” is the human condition, otherwise known as imperfection, fallibility, bearing the burden of original sin.  In biblical terms, we are banished from the Garden of Eden.  I do not mean to diminish the severity of those with very serious handicaps versus those who, by all appearances, are not handicapped at all.  What I mean is being handicapped or not is not a dichotomy, whereby we fall on either side of a dividing line.  It is rather a spectrum, a continuum with all of us falling somewhere on that linear progression from mildly handicapped to severely handicapped, and our perspective determines where we believe we fall on that continuum, much as it does for our degrees of happiness.


It is always a tremendous inspiration when we see people with very severe handicaps doing things you would never expect them to do.  We watch Iraqi war veterans who have lost limbs playing basketball; we delight in the Special Olympics and realize the efforts of those participants are as meaningful, if not more so, than those in the traditional Olympics.  At the same time, we all know people who are not “handicapped” and who are not nearly as active or motivated as many of those who are.  We all know slackers who pride themselves in how little they do and seek to get away with whatever they can. They are not “handicapped” or are they? If you think about it, being handicapped is much like being happy, in that it often comes down to perspective.  If we regard ourselves as disadvantaged we will likely stay that way, because we are focused on our weaknesses rather than our strengths.  If, however, we are focused on our strengths, our weaknesses—our “handicaps”–disappear from our radar.


Of course, there are things the girl at the grocery store cannot do or cannot do well, but so what.  There are many things I cannot do or do well.  I don’t do them, primarily for that reason.  She might only be capable of bagging groceries, but she was rejoicing in the task and performed it as if it were as meaningful as brain surgery to a brain surgeon.  And that is the point.  She was happy; she was productive; she was proud; she was beautiful.


There are those in our culture who have talents we deem important, like throwing a football or looking beautiful through the lens of a camera, but those same people have their own handicaps, though we might not call them by that label.  They might have emotional issues or ego problems to the point where they cannot have normal relationships.  There are a whole host of “handicaps” that can lead to emotional, spiritual, psychological struggles that belie any appearance of physical prowess or make-up.  Or it might be as simple as unhappiness—what greater handicap is there than depression, clinical or not.


All those we see doing things we expect them to be unable to do, adjusting their lives to make the best of what they have—the lesson is not simply in overcoming a handicap.  The lesson is in moving along that handicap spectrum I referred to.  We are all handicapped in one way or another.  It is up to us to determine where on that spectrum—from the less severe handicap to the most severe—we will fall.  I submit that the bagger of my groceries, because of her happiness at the task and her finding a task that gave her the fulfillment she seemed to embrace, was much less handicapped than, for example, the basketball star who can’t find a meaningful relationship, because he is full of himself.



Handicapped

Thursday, March 5, 2015

The Generations Are Not Different, We Are

We have all heard older generations talk about younger generations as having no motivation, as being lazy, as “not like we were.”  There is a whole host of shortcomings older generations enjoy laying on younger generations.  “Kids today . . . .”  For their part, younger generations like to regard older generations as “dinosaurs,” uncool, as unable to relate to the issues they face in the modern age, especially in this age of constant technological innovation.  But the bottom line is this:  it is not between generations that a gap exists, but simply a different set of priorities between people—even the same person—separated in age by 20 or 30 years.  The gap is the 20-year evolution of our highest priorities.  Generations are not different—people’s sensibilities change as they get older.


One of the things I learned as a parent was that it was impossible to go to bed unless I knew everyone of my children was where they needed to be for the night.  When they were young, this meant they were home, all the homework was done, their teeth were brushed and they were ready for bed.  When they were teens, it meant being home or safely at a friend’s where they were staying.  In short, it was impossible to sleep as a parent without a clear head.


I remember my own parents not being able to sleep when one of us was still out and had not come home yet.  When I was long out of the house and had my own family, I once asked my father, who looked very tired, when was the last time he had a good night sleep.  He answered, “Around 1961.”  The year I asked him the question was around 2002. I think older generations carry with them that desire to sleep with a clear head.  It is hard to rest comfortably without a sense that everything is where it needs to be.


When we are young and single, we have little or no sense of that desire.  That desire comes with responsibility—whether it is marriage, children, a mortgage, stacks of bills—all dependent on us.  That is not to say the younger generation does not face its own meaningful responsibilities—it does.  Their responsibilities are  simply very different in nature.  Young people are grappling with the question, “What am I going to be?  What am I going to do for the rest of my life”?  I think it is safe to say, this is a very daunting question.  Even if you attend a great school or have a great job, you could very well be asking yourself the question, “Is this what I want to do for the rest of my life?  Is this the job I want to define who I am?”   The older generations have already asked and answered that question in one way or another, even if not to their ultimate satisfaction.


Older generations tend to be more settled in to whatever their personal lives have brought them.  Not so with younger generations.  Perhaps there is trouble with boyfriends or girlfriends; young marriages can be a bit stormy; novice parenting can be much more melodramatic than veteran parenting.  All of these things can create anxiety in younger generations that simply may no longer be a  part of the lives of older generations.


The bottom line here is that younger generations are no different than older generations were when the older generations were younger.  The means and methods of life and living might change—cell phones and all the other developments in modern technology are ready examples, but the generations themselves are all the same.  Each generation just likes to think of itself as so different and unique.  But the big questions we face, the big circumstances that shape our lives are no different today than they were 20 or 50 or 100 years ago.  The mechanisms change, the technology changes, some of the norms and expectations change, some dangers become more serious and some dissipate altogether, but the only thing that changes in the human animal is our priorities as we evolve from being young and single and anxious to change the world to older and settled and comfortable in what we have become.



The Generations Are Not Different, We Are

Wednesday, March 4, 2015

Separation Anxiety

Deciding when and how to end a marriage or go through a separation is difficult, and the process can be emotionally draining.   Usually, the first step is separation, which can only be complicated by factors like financial obligations, children, and even pets.  Where will each of you live?  How will the financial responsibilities for the family and marital home be divided when you are not living under the same roof during the separation?  When will you get to spend quality time with the children?  If you remain in the marital home, how will your estranged spouse gain access? And how often?  The odds that two people who have not been getting along and who are contemplating a permanent end to their marital partnership will be able to agree to a temporary arrangement is highly unlikely.  However, having a temporary agreement that addresses financial responsibilities and a visitation schedule can help ease the stress between spouses during the initial separation period.  Guidance from an experienced family law attorney or the assistance of a mediator during this time is a great solution.  Also, having a temporary agreement in place during the separation period is a great starting place for negotiating a final property settlement agreement and visitation schedule.



Separation Anxiety

Thursday, February 19, 2015

Leadership

I once heard someone describe a true leader as one “who is the first to take the blame and the last to take the credit.”  What a stark contrast too many of our modern politicians who seek out “plausible deniability,” who seek credit for all manner of positives, and point fingers at others for all manner of negatives.  To listen to our political parties is to listen almost to children pointing fingers at the other when the glass breaks.


Leadership, to state it simply, is decisiveness.  Leadership is being sure and confident.  It is knowing, with clarity what you believe, and conveying that belief with the same clarity to others.  Most people are not entirely sure what they believe, mainly because developing a confident and deeply felt belief system requires a great deal of time and thought.  Most people look to leaders to tell them what to believe.  There is nothing wrong with this.  It is completely natural.  When we were children, we looked to our parents and teachers, perhaps an older sibling for this.  As adults, we do the same with politicians, historical heroes, spiritual guides, or more experienced adults.


Positive leadership is decisiveness that moves people forward to a better place—morally, emotionally, spiritually, physically, financially.  Negative leadership, of course, does the opposite.  Sometimes, however, these opposites might not be so easily distinguishable, or might be easily distinguishable only in hindsight.  It obviously sounded appealing to Germans in the 1930’s to make the Jewish population the scapegoats of all of their economic woes, but that scapegoating somehow led first to the confiscation of their property, then their internment in ghettos, then their extermination in death camps.  How?  Because the Nazi leaders were so confident in their beliefs—horrific as they were—they managed to convince millions of the correctness of their views.  There was no question, no doubt, no equivocation in the Nazi psyche as to whether they were right or wrong.  Well, they were wrong, as were the millions who followed them.


Today, we see the same unequivocation with Islamist extremism.  They are so confident in their calling, so sure of their world view, they are able to commit horrifying acts of violence against innocent men, women and children, and still thousands of people from all over the world flock to their cause.  The decisiveness of it all is where the appeal lies, because so many do not take the time or energy to think about what they believe and why.


The obligation on all of us followers—and we all are followers to one extent or another—is to weigh seriously and objectively all of the ideas we hear from all sorts of leaders in all sorts of places and come to our own conclusions as to what we believe and should believe.  We need to engage, in the words of John Stuart Mill, in the “marketplace of ideas.”  It is our responsibility to choose wisely among the leaders we see and hear, and to choose those who will move us forward.  It takes time to shop effectively and rationally in this market, to see clearly who is taking us to a better place, and who is marching us backward, who is “right” in the sense of advancing humanity in one way or another and who is “wrong.”


This begs the question, how do we know who or what is right?  When we watch, and we listen, and we learn, we will know.  We might disagree, but we will know.  False prophets—the real false prophets—the Adolph Hitler’s and the Osama bin Laden’s—“you will know them by their fruits,” in the words of Jesus.


So, amidst all the noise about what is wrong with the world and how to improve it, the myriad of views we see on TV, and all around us about how things should be and how they need to be fixed and by whom, be the follower who listens, watches, learns, and knows, and be the leader who, when you do know, moves those around you forward to a better place.



Leadership

Thursday, February 12, 2015

PPO’s and Their Overarching Effect

Preferred Provider Organization (PPO) Agreements—what are they exactly?  You, hospital or surgery center, are a preferred provider, meaning the insurance carrier, the one who desperately wants you signing such an agreement, affords you preferential treatment when you sign up.  Well, for the most part, the most significant aspect of these agreements is lower reimbursement to the medical provider.  Some preference!


Let’s examine a bit more closely the effects of these contracts.


The overarching effect of these agreements is to create fee schedules, where they otherwise would not exist.  In the normal course, a medical provider would be reimbursed at the rates established by a government-created fee schedule, such as the federal Medicare fee schedules or the New Jersey No-Fault fee schedules, or, in the absence of an applicable fee schedule, at the provider’s usual and customary rate (UCR).  Insurance carriers welcome government-imposed fee schedules, because they tend to reimburse medical providers at rates lower than the provider’s UCR, in effect cutting the carrier’s costs.


Carriers also realize they could benefit even more by creating their own fee schedules, where there were no government fee schedules, as long as they could get providers to agree to accept the lower reimbursements.  Hence, the creation of networks.  Carriers like to promise patient referrals in exchange for signing up to the lower reimbursement rates; they also like to promise quicker payments.  It is impossible for anyone other than the provider itself to determine whether these promised benefits exceed the detriment of lower reimbursements, or even whether the promised benefits exist.  And, of course, some PPO agreements are better than others.  But, it is possible–perhaps very possible–the reality of the PPO the medical provider is committed to is not nearly as beneficial to the medical provider as the carrier promised.


This would seem to be especially true in areas where patient referrals do not even come into play, such as hospital emergency room (ER) claims.  ER patients usually have no choice as to the hospital they will go to for treatment.  They head, in most instances, whether by ambulance or other means, to the nearest ER facility.  They do not choose a facility based on whether or not the facility is part of their insurance carrier’s network.  Accordingly, commercial insurance ER claims should not even be subjected to a PPO arrangement.  These claims should be paid at UCR by commercial carriers.  The same is true of Workers Compensation ER claims, since there is no government-imposed Workers Compensation fee schedule in New Jersey.  Likewise, the rules and regulations governing No-Fault exempt ER treatment from the relevant fee schedules, maintaining a history of hospital ER claims being paid at UCR.  The only thing enabling reimbursement to hospitals at rates lower than UCR in all three of these circumstances is the existence of PPO’s.


Understand, too, why these agreements are so important to carriers.  Regardless of how effective or ineffective you think government action can be, we can all agree at least that when a government entity promulgates fee schedules, it does so in order to keep down the related insurance rates.  For example, the no-fault fee schedules were created in an attempt to reduce auto insurance premiums for the consumer.  Whether they did so or not is another question, but, at least this was the intent.  When carriers create their PPO fee schedules and rates, they do so to improve their bottom lines.  There is nothing wrong with profit, but I state things this way, so that medical providers make informed choices when deciding whether or not to become a “preferred” provider.



PPO’s and Their Overarching Effect

Monday, February 9, 2015

The Standard of Reimbursement for Medical Providers Under the New Jersey PIP Laws

The following is a summary of reimbursement standards for medical treatment provided to a patient who was injured in a motor vehicle accident in New Jersey.  Let’s say you are an orthopedic surgeon who practices in north New Jersey, and a patient’s primary doctor has requested an orthopedic consultation for an assessment as to whether surgery may be needed for a knee injured in a motor vehicle accident.  The patient presents to you, and you conduct a comprehensive evaluation and examination, and make your recommendation.  You billed for the consultation under CPT Code 99245, but the PIP insurer reimbursed you only $252.93, which is less than the amount you billed.  You contact the insurer and they insist the amount is proper. As it turns out, the insurer is correct.  The New Jersey Department of Banking and Insurance (“DOBI”) has enacted various medical fee schedules, and indeed a fee schedule exists for Physicians and the amount for the CPT Code at issue is what the insurer paid.


 


What if a medical provider renders a service, but there is no corresponding amount on a medical fee schedule?  For example, what if a physician provides treatment and the applicable CPT Code does not appear on the physician fee schedule?  In this instance, the physician is entitled to reimbursement at the “usual, customary and reasonable” amount.  But how is this amount, often coined the “UCR amount” determined?


 


The current regulations governing New Jersey PIP provide the standard for analysis to determine this amount.  N.J.A.C. 11:3-29.4 (e)(1) provides,


 


“For the purposes of this subchapter, determination of the usual, reasonable and customary fee means that the provider submits to the insurer his or her usual and customary fee by means of explanations of benefits from payors showing the provider’s billed and paid fee(s).  The insurer determines the reasonableness of the provider’s fee by comparison of its experience with that provider and with other providers in the region. National databases of fees, such as those published by FAIR Health (www.fairhealthus.org) or Wasserman (http://www.medfees.com/), for example, are evidence of the reasonableness of fees for the provider’s geographic region or ZIP code. The use of national databases of fees is not limited to the above examples. When using a database as evidence of the reasonableness of a fee, the insurer shall identify the database used, the edition date, the geozip and the percentile.”


 


It is important to recognize the provider has the initial burden of proof that is, the provider must prove the “usual and customary” fee.  Here, you should be able to prove you bill the consistent amount to different insurers.  You should also organize the explanations of benefits you receive from different insurers, to be able to show what insurers have paid you for the treatment.  The insurer is then permitted to introduce data as to the “reasonableness” of the rates.  You can do this by showing your experiences with payments from other carriers, as well as introducing data from national databases.



The Standard of Reimbursement for Medical Providers Under the New Jersey PIP Laws

Friday, February 6, 2015

The number of electronic transaction is growing everyday in the modern world where technology is embraced and people are looking for alternative ways of doing business. One major factor that most online companies consider is the safety of the data transmitted daily, all the data stored in clouds or other locations are prone to hacking. Major companies such as yahoo, drop box, and LinkedIn have all in the past experienced data breach and this has prompted many other firms to look for security of the information in the form of cyber liability insurance. This is a new type of liability coverage that is geared towards protecting the companies financially in cases of electronic data breach security.


How It Works


Cyber liability insurance covers any kind of liability that arises out of unauthorized use of electronic data, unauthorized access to data or software, which is operated by a company. In basic terms, it covers data theft and the spreading of viruses to the company website. It is imperative to understand that it coves error or omission and negligence associated with data and use of the software as well. For example, if an employee sends personal information of a client to another clients email accidentally, the company will be liable to cover and the insurance works will cover such instances. Many may wonder about the difference between the traditional liability cover and cyber liability cover; however, the main difference is that traditional liability insurance covers only tangible objects; however, cyber covers non-tangible objects.


The Main Features


The main item covered by the insurance policy is network privacy; it protects you in case a client or member of the public suffers damage or loss because of your inability to protect sensitive information or data that is stored on your network. This issue often arises when there is data theft of security leaks, the data breach could cause inaccessibility to access the data which they entitled to. Moreover, modern polices are customized to cater for electronic media cover, this is vital in covering libel, defamation, invasion of copyright, privacy, slander of any kind of infringement that arises from online publication of electronic data.


In summary, cyber liability cover is important in keeping electronic data and software safe from hackers and there are numerous polices depending on the company taste and preference.



Thursday, February 5, 2015