Hospital Employment of Physicians
Those of us who have been in the health care industry for awhile have seen hospital employment of physicians come and go several times. In my early years as a health care attorney, I was an in-house...
View ArticleSome Thoughts on HIPAA
A few thoughts on HIPAA Real case scenario. A health care provider’s car gets broken into and private health information (“PHI”) is stolen, along with other items. Next steps? Once the...
View ArticleThoughts on Physician Employment and Corporate Bookkeeping
More thoughts on physician employment by hospitals One of my clients, who was approached by a hospital for possible employment, proposed a trial period of 12 months. During that 12 months, she would...
View ArticleOn-Call Issues Persist
I have been asked to speak at the Orthopaedic Trauma Association’s 2011 meeting in San Antonio on October 15. The Association recently polled its members asking them to identify a topic for the...
View Article2011 Uncertainty Brings Worry and Change
2010 brought significant changes in the law for the healthcare industry with the passage of the Patient Protection and Affordable Care Act (“PPACA”), the Provena decision regarding real estate tax...
View ArticleDon’t Just Pay the RAC
Medicare Recovery Audit Contractors (RACs) mine data using automated systems to detect and recover improper Medicare payments. RAC audits pick up billing and coding errors and deny claims based on...
View ArticleProposed Physician Payment Disclosure Rule Published
The Centers for Medicare and Medicaid Services (“CMS”) released its proposed rule regarding the required reporting of device, biologics and pharmaceutical manufacturer payments to physicians on...
View ArticleHHS OIG Notice Seeks Comments on Safe Harbors, Special Fraud Alerts
Once a year, as required by the Health Insurance Portability and Accountability Act of 1996, the Department of Health and Human Services Office of the Inspector General (“OIG”) solicits proposals to...
View ArticleAetna Sues Surgery Centers Over Billing Practices
In a bold and seemingly unprecedented move, Aetna recently sued several California surgery centers for an alleged “fraudulent billing scheme”. The lawsuit alleges that the surgery centers induced...
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