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15 Mar 2016, 12:51 pm by Edward J. Cyran
Called by some the “King of Nursing Homes” for his many low-income nursing home patients in northeast Illinois, Dr. [read post]
19 Feb 2009, 6:57 am
Now that Tom Daschle is out of the running for Secretary of HHS, there's been much buzz about who President Obama's next choice will be. [read post]
30 Sep 2009, 7:32 am by Todd Rodriguez
In case you somehow missed the news, effective October 1, 2009 (that's right, tomorrow), 'under arrangements' ventures involving Stark services are no longer permissible. [read post]
1 Oct 2012, 2:39 pm by Todd Rodriguez
Many physicians were once content (and a few still are) to let their coders select their codes for billing purposes.  [read post]
18 Sep 2015, 8:25 am by Edward J. Cyran
As a follow up to our most recent post on What You Need to Know About PA’s Child Protective Services Law, you should know that the Pennsylvania Superior Court (PA’s primary appellate court) recently held that a physician may be sued for malpractice for failing to report suspected child abuse, even though there is not an express right to sue a physician for failing to report such abuse under the PA Child Protective Services Law (the “Child Abuse Law”). [read post]
16 Jul 2013, 7:31 am by Todd Rodriguez
Earlier this year, the Department of Health and Human Services (HHS) published the “HIPAA Omnibus Rule,” implementing various provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act as the related to the HIPAA Privacy, Security, and Enforcement Rules. [read post]
22 Apr 2014, 7:13 am by Todd Rodriguez
By Michael Coco The New Jersey Supreme Court, through the Committee on the Rules of Evidence (the “Committee”) is proposing changes to the rules on admitting evidence and allowing testimony from health care professionals involved in the counseling and treatment of mental health patients. [read post]
16 Mar 2015, 9:44 am by Todd Rodriguez
Many physicians mistakenly believe that federal healthcare fraud and abuse statutes only apply to the Medicare fee-for-service program. [read post]
21 Jul 2010, 2:59 pm by Todd Rodriguez
As further indication that health care fraud enforcement efforts are heating up in a big way, on Friday July 16, 2010, the Department of Justice announced the largest health care fraud crackdown in history.  [read post]
24 Jan 2011, 1:48 pm by Todd Rodriguez
As proof that no fish is too small for the wide health care fraud nets being cast by government authorities, a Columbus, Ohio internist has pleaded guilty to health care fraud and tax evasion arising out of health care services billed out of his medical practice between 2005 and 2007. [read post]
31 Oct 2012, 1:27 pm by Todd Rodriguez
This week the Office of Inspector General of the Department of Health and Human Services published Advisory Opinion 12-15 in which it blessed an on-call compensation arrangement between a hospital and specialist physicians on its staff.  [read post]
31 May 2017, 8:13 am by Eric Bixler
Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. [read post]
31 Jan 2012, 8:44 am by Todd Rodriguez
Well, another interesting article this week regarding the exodus of physicians from private practice.  [read post]
30 Oct 2014, 7:47 am by Todd Rodriguez
In response to the development of alternative payment systems, provider networks are forming at a frenetic pace. [read post]
13 Sep 2011, 5:57 am by Todd Rodriguez
One of the major trends in health care today is to allow greater patient access to health information.  [read post]
30 Jul 2012, 9:51 am by Todd Rodriguez
As the debate regarding healthcare reform rages on, perhaps too often the blame for rising health care costs is pointed at physicians, and as a result, physician reimbursement has historically been an easy target for cost-cutting. [read post]
30 Nov 2012, 6:16 pm by Todd Rodriguez
 The term "concierge medicine" conjures images of exclusivity, special treatment and high cost. [read post]
13 May 2014, 8:23 am by Todd Rodriguez
The Office of Inspector General (OIG) today issued a proposed rule which would amend the federal civil monetary penalty (CMP) regulations addressing new CMP authorities created under the Affordable Care Act. [read post]