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15 Dec 2008, 9:51 pm
In response to an unusually straightforward fact pattern, the OIG today released an advisory opinion blessing certain part-time physician employment arrangements. [read post]
9 Dec 2008, 3:31 pm
Physicians enrolling in the Medicare program should be aware that Medicare recently changed the rules applicable to when a physician's enrollment is deemed to take effect. [read post]
2 Dec 2008, 10:54 pm
Does your practice bill Medicare for diagnostic tests? [read post]
21 Oct 2008, 11:54 pm
It's pretty clear that the good old days of detailing prescribing physicians with freebies are gone. [read post]
21 Oct 2008, 4:18 pm
According to a recent article in the Philadelphia Business Journal, the Pennsylvania Insurance Department will not issue a ruling on the merger until early next year. [read post]
21 Oct 2008, 3:25 pm
Under Medicare regulations, the interest rate that may be charged on Medicare overpayments and underpayments is the higher of the current value of funds rate (five percent for calendar year 2008) or the private consumer rate as fixed by the Department of the Treasury. [read post]
14 Oct 2008, 3:05 pm
Physicians, Do you have financial relationships (think joint venture, medical director stipends, lease arrangements, AS&T agreements) with a hospital? [read post]
2 Oct 2008, 3:37 pm
The Office of Inspector General (OIG) of the Dept of Health and Human Services released its FY2009 Workplan yesterday. [read post]
30 Sep 2008, 2:04 pm
For those of you who have not been watching your Stark radar screen closely, be aware that CMS recently made a number of substantial changes to the Stark self-referral regulations that may affect your practice arrangements. [read post]
8 Aug 2008, 1:46 pm
Document, document, document! [read post]
21 May 2008, 2:34 pm
It is no secret that the federal government is very interested in the connection between gifts and other remuneration from drug and device manufacturers and physician decision-making when it comes to ordering those items. [read post]
14 May 2008, 8:51 pm
Canadian researchers may have solved the looming physician shortage crisis -- at least as it would apply to the administration of surgical anesthesia. [read post]
12 May 2008, 2:52 pm
According to a recent article in the Patriot News, Governor Rendell has outlined the costs associated with his plan to provide health insurance for Pennsylvania's uninsured population. [read post]
7 May 2008, 3:37 pm
The federal government was apparently not kidding when it said it planned to take a closer look at physician/hospital arrangements. [read post]
15 Apr 2008, 6:21 pm
Proving the theory that no good deed goes unpunished, according to a March 17, 2008 Department of Justice press release, Hardeman County Memorial Hospital in Texas agreed to pay the federal government a total of $398,230 to resolve allegations that it violated the federal False Claims Act by submitting improper claims for payment to the Medicare program for healthcare items and services that were provided as a result of improper physician referrals. [read post]
15 Apr 2008, 6:17 pm
Under a recent decision by the U.S. [read post]
15 Apr 2008, 6:12 pm
As previously reported on this blog, the Centers for Medicare and Medicaid Services (CMS) had announced in 2007 that they intended to send requests for information to all Medicare participating hospitals for details regarding the investment/ownership and compensation arrangements between those hospitals and physicians to determine whether the arrangements were in compliance with the federal Stark statute. [read post]
18 Mar 2008, 3:47 pm
According to a recent online Wall Street Journal article, Walgreen Co. is taking definitive steps to expand further into the workplace health center arena. [read post]
12 Mar 2008, 3:18 pm
According to a recent alert on the Centers for Medicare and Medicaid Services (CMS) website, physicians and other providers are required to begin using a new ABN form when services are expected to not be covered by medicare. [read post]
12 Mar 2008, 1:42 pm
According to an article in the New York Times, Aetna will soon begin offering a new service to help enable patients to research their own specific medical conditions. [read post]
