Federal Fraud and Abuse Control Program, revisions to current sanctions and to criminal law, civil monetary penalties and amendment to the anti-kickback statute.
Read More »Challenging Medicare teaching physician audits
Key features of Office of Inspector General audits, including OIG’s new voluntary audits. Offers interpretations of: physical presence of teaching physician, documentation, undercoding and penalties.
Read More »Tort reform may not reduce liability
A critical look at medical liability reform "progress" from a litigator’s perspective reveals a potential raw deal.
Read More »PA’s certificate of need sunset
A handy summary of what has happened, what is affected and how other state agencies have said they will respond.
Read More »Valuation problems of intangible assets
Confronting practice valuations are legal and financial obstacles in two contexts: the sale of a practice by a hospital-based physician and the sale of a practice to a hospital. Learn from the mistakes of others.
Read More »Is Certificate of Need regulation extinct?
The failure of the state's General Assembly to extend the CON law does not mean that the Department of Health will be silent on the matter. The first of two articles to examine the legal impact of this event on the health care market.
Read More »Changes in tax laws will affect physician practices
Explains what tax law changes you need to know about in the Small Business Job Protection Act of 1996, the Health Insurance Portability and Accountability Act of 1996, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, and the Taxpayers Bill of Rights 2.
Read More »New antitrust rule encourages physician networks
How the Federal Trade Commission has revised its antitrust enforcement policies regarding your IPA or PHO. You may no longer need to engage in financial risk-sharing to avoid antitrust violations.
Read More »Teleconsultation reimbursement changes
Medicare reinbursement telemedicine consultations may be coming soon.
Read More »Managed care liability
As managed care organizations have undertaken increasingly pivotal roles in decisions affecting the delivery of health care, judges have re-evaluated their earlier views and imposed liability.
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