Providers should know when the law applies, what credentialing restrictions are placed on managed care organizations, what rights the providers are afforded and what are the limitations of those rights.
Read More »Forgotten benefits of medical savings accounts
Physicians can benefit from MSAs as an employer, employee and/or provider.
Read More »Surveying patients & staff for strategic planning
Before embarking on the long, somewhat tedious and costly road of developing a written strategic plan, find out what your patients and your staff think of both the practice and you.
Read More »Staff privilege denial and disability discrimination
A disabled physician can sue a hospital that strips him of staff privileges under the public accommodation provision of Title III of the Americans with Disabilities Act.
Read More »HMO liability presents risks to physicians
The physician may not only be subject to additional litigation by being joined in a suit or sued after a final determination of vicarious liability on the part of the HMO, but may also find himself/herself without the protection of insurance.
Read More »Tobacco settlement challenges & opportunities
Despite all of the hype, the settlement appears to be short on public health policies and long on special legal protections for the tobacco industry. And there is no guarantee that any of the settlement money coming to Pennsylvania will be spent on tobacco control, public health or health care.
Read More »Toward an ideal accounts receivable process
Managing your accounts receivable process effectively and efficiently may require you to change your thinking about third party follow-up
Read More »Challenging Blues medical necessity denials
Physicians who have had claims denied or recoupment demanded by Blue Shield have the right now to initiate litigation in the physician’s local county court.
Read More »Your rights after termination without cause
The exercise of "without cause" termination rights is truly a double-edged sword for managed care organizations and practitioners alike.
Read More »Central asset accounts to enhance revenue
A central asset account makes your money work harder for you by sweeping idle assets into interest-bearing money market funds.
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