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7 Jun 2012, 5:19 am
In this second installment of critical physician employment agreement considerations (see the first installment "Defining the Scope of Practice"), I want to briefly discuss term and termination provisions. [read post]
30 May 2012, 8:11 am
Health care fraud and abuse enforcement activity is at an all-time high yet many physicians and other providers lack a basic understanding of the key healthcare fraud and abuse statutes that apply to them. [read post]
3 May 2012, 5:54 am
When it comes to record-breaking Medicare fraud busts, the hits keep coming. [read post]
24 Apr 2012, 11:25 am
If you read this blog with any regularity (or even if you read healthcare related news from time to time), you should be aware of the emphasis that federal and state enforcement authorities are placing on healthcare fraud and abuse enforcement. [read post]
9 Apr 2012, 8:41 am
Physicians who reassign their right to bill the Medicare program can still be liable for false claims submitted by the entities who obtained that reassignment, as discussed in a recent "Alert" issued by the Office of Inspector General (OIG). [read post]
28 Mar 2012, 11:10 am
More and more physicians are considering hospital employment as an alternative to private practice. [read post]
26 Mar 2012, 11:29 am
Last week, the Pennsylvania Board of Medicine published proposed regulations amending the physician controlled substances prescribing regulations to, among other things, expand the regs to include butalbital, carisoprodol and tramadol hydrochloride. [read post]
29 Feb 2012, 3:56 pm
I have been speaking with physicians for years about the importance of developing effective fraud and abuse compliance programs in their practices and I often still get the same response: The government is only interested in the big fish like pharmaceutical manufacturers and hospitals -physicians are under the radar. [read post]
27 Feb 2012, 2:28 pm
In June of 2011, I reported on this blog about a software program being launched by the federal Department of Health and Human Services to use a technology called predictive modeling to identify fraudulent and abusive billing practices on a prepayment basis. [read post]
3 Feb 2012, 11:03 am
A recent U.S. [read post]
31 Jan 2012, 8:44 am
Well, another interesting article this week regarding the exodus of physicians from private practice. [read post]
30 Jan 2012, 7:58 am
Most medical practices in Pennsylvania are aware that Pennsylvania imposes a sales and use tax on various items and services purchased by medical practices. [read post]
25 Jan 2012, 1:16 pm
There's an interesting piece in the Miami Herald today regarding hospitals once again acquiring physician practices. [read post]
9 Jan 2012, 8:19 am
A recent article on CNNMoney discusses the not-so-new news story about the financial struggles of private medical practices. [read post]
29 Dec 2011, 1:17 pm
Many physicians I work with are talking about the possibility of new payment models such as bundled payments, episode-of-care payments and Accountable Care Organization (ACO) payment models. [read post]
27 Dec 2011, 9:36 am
My physician clients often ask me for advice on how best to negotiate with managed care payers for improved reimbursement. [read post]
23 Dec 2011, 12:00 pm
In a last ditch effort to salvage their Holiday vacation plans, the U. [read post]
1 Dec 2011, 10:38 am
By David Restaino, Esquire Federal prosecutors continue to focus their efforts on preventing health care fraud, as evidenced by a recent case arising in Texas. [read post]
4 Nov 2011, 10:06 am
By David Restaino The Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) has been busy combating fraud and abuse over the last few years – the monies it has recovered more than doubled from 2006 to 2010, topping $4 billion in fiscal year 2010 alone. [read post]
3 Nov 2011, 6:19 am
According to an article in the Arizona Republic posted on AZcentral.com, Health Net of Arizona has begun offering a new "narrow network" HMO product to employers in conjunction with Banner Health, a health system offering healthcare services in seven western states. [read post]
