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25 Feb 2014, 1:42 pm
Is bigger better when it comes to private medical practices? [read post]
19 Feb 2014, 7:10 am
Many physicians still haven’t come to grips with the fact that . [read post]
22 Jan 2014, 9:53 am
CMS announced this week that it is modifying its longstanding policy regarding the release of Medicare physician payment data in response to Freedom of Information Act (FOIA) requests. [read post]
27 Dec 2013, 1:02 pm
Creative clinical laboratory arrangements seem to be proliferating of late in Pennsylvania these days. [read post]
23 Dec 2013, 11:24 am
Many physicians pay very little attention to their managed care participation agreements. [read post]
22 Dec 2013, 8:23 am
In recent months I have had a number of physician clients contact me to tell me that they have unexpectedly been dropped from one or more Medicare Advantage plans with which they have participated with no issue for, in some case, years. [read post]
30 Nov 2013, 2:00 pm
We all witnessed the disastrous rollout of the Healthcare.gov website which crashed almost immediately after going live. [read post]
25 Nov 2013, 7:56 am
Hospital-physician acquisition of medical practices continues at a furious pace. [read post]
31 Oct 2013, 9:16 am
It is still evident to me that too many physician practices still do not have effective fraud and abuse compliance programs integrated into their practices. [read post]
16 Oct 2013, 6:40 am
By Michael J. [read post]
30 Sep 2013, 7:22 am
In representing healthcare providers, we are frequently called upon to assist with labor and employment legal matters. [read post]
30 Aug 2013, 12:09 pm
One of the ways the Medicare program and other payer plans are recovering overpayments and identifying billing fraud is through the regular use of data mining. [read post]
30 Aug 2013, 5:48 am
Hiring a new physician into a practice can be an expensive and risky proposition but for most practices it is a necessary endeavor. [read post]
30 Jul 2013, 7:37 am
Curious what the future of medicine will look like? [read post]
25 Jul 2013, 6:18 am
As the implementation of the federal Affordable Care Act (ACA) continues in fits and starts, healthcare providers are scrambling to best position themselves to accommodate anticipated and developing payment models. [read post]
23 Jul 2013, 8:37 am
The article Pediatricians v Retail Clinics: Is It Time to Think Beyond the Office Visit? [read post]
16 Jul 2013, 7:31 am
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]
29 May 2013, 7:24 pm
Earlier this month the closely watched case of U.S. ex rel Drakeford v Tuomey Healthcare System Inc. (675 F.3d 394 (4th Cir. 2012) concluded with a jury finding that the compensation paid to physicians under certain part-time employment agreements by Tuomey Healthcare System resulted in violations of both the federal False Claims Act and the federal Stark law. [read post]
30 Apr 2013, 10:15 am
On March 26, 2013, the Office of Inspector General published much-awaited guidance on physician-owned medical device distributorships (commonly known as "PODs") in the form of a Special Fraud Alert. [read post]
29 Apr 2013, 10:37 am
In what would undoubtedly be a devastating blow to many medical practices that rely on the Stark in-office ancillary services exception (which allows physicians to refer within their practices for Stark services), President Obama's proposed FY 2014 would seek to eliminate the exception for physical therapy, radiation therapy and advanced imaging such as CT and MRI. [read post]
